Raul Heredia, MD
NPI 1366408213 · Cardiovascular Disease Physician · Frankfort, KY
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Heredia, MD is a Cardiovascular Disease Physician provider in Frankfort, KY (NPI 1366408213).
Provider details
- NPI number
- 1366408213
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35532 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,048 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 744 | $122 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 710 | $13 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 101 | $9 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 93 | $167 |
| Technetium Tc-99m Tetrofosmin, Diagnostic, Per Study DoseA9502 | 68 | $72 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 80 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 1,188 | 399 |
| Metoprolol Succinate | 867 | 252 |
| Amlodipine Besylate | 861 | 297 |
| Atorvastatin Calcium | 809 | 257 |
| Apixabanbrand: Eliquis | 729 | 172 |
| Ezetimibe | 544 | 177 |
| Spironolactone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,102 across 199 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2011-12-27
Frequently asked questions
- What is Raul Heredia's NPI number?
- Raul Heredia's National Provider Identifier (NPI) is 1366408213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raul Heredia's specialty?
- Raul Heredia is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Heredia located?
- Raul Heredia's practice location on file with NPPES is 1002 Leawood Dr, Frankfort, KY 40601.
- What is Raul Heredia's phone number?
- The practice phone number listed in the NPPES registry for Raul Heredia is (502) 227-7188.
- Does Raul Heredia accept Medicare?
- Raul Heredia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raul Heredia's NPI active?
- Yes — Raul Heredia's NPI (1366408213) is active in the NPPES registry as of the last update on 2011-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.