Elizabeth Heredia
NPI 1194755843 · Family Medicine Physician · St Charles, IL
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Heredia is a Family Medicine Physician provider in St Charles, IL (NPI 1194755843).
Provider details
- NPI number
- 1194755843
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 036092002 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
476 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 106 | $136 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 103 | $138 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 89 | $17 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 45 | $191 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $96 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 178 | 48 |
| Levothyroxine Sodium | 172 | 45 |
| Lisinopril | 125 | 36 |
| Amlodipine Besylate | 101 | 27 |
| Rosuvastatin Calcium | 100 | 33 |
| Hydrochlorothiazide | 86 | 23 |
| Metformin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2013-04-04
Frequently asked questions
- What is Elizabeth Heredia's NPI number?
- Elizabeth Heredia's National Provider Identifier (NPI) is 1194755843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Heredia's specialty?
- Elizabeth Heredia is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elizabeth Heredia located?
- Elizabeth Heredia's practice location on file with NPPES is 2900 Foxfield Rd, St Charles, IL 60174-5799.
- What is Elizabeth Heredia's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Heredia is (630) 377-7900.
- Does Elizabeth Heredia accept Medicare?
- Elizabeth Heredia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Heredia's NPI active?
- Yes — Elizabeth Heredia's NPI (1194755843) is active in the NPPES registry as of the last update on 2013-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.