IndividualActive
Gerardo Heredia Melero, M.D.
NPI 1174839401 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1174839401
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01099156A (IN)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 01099156A (IN)
Allopathic & Osteopathic Physicians
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician207VF0040XLicense 50803 (KY)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11123 Parkview Plaza Dr Ste 102
Fort Wayne, IN 46845-1707
Phone: (260) 425-5240
Fax: (260) 425-5245
Approximate (ZIP-level) locationGet directions
Mailing address
125 E Maxwell St Ste 300
Lexington, KY 40508-2678
Additional practice locations (2)
- 200 Hawkins DrDepartment of Obstetrics and GynecologyIowa City, IA 52242-1009Phone: (319) 467-5297
- 125 E Maxwell St Ste 140Lexington, KY 40508-2678Phone: (859) 323-0005Fax: (859) 323-0790
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.