OrganizationActive
Miguel a Heredia, MD PA
NPI 1659698827 · Health Maintenance Organization · Baltimore, MD
Provider details
- NPI number
- 1659698827
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Miguel Heredia, Medical Doctor(410) 788-6575
- License
- D0004971 (MD)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
413 Commonwealth Ave
Baltimore, MD 21228-3044
Phone: (410) 788-6575
Fax: (410) 744-1088
Street-level locationGet directions
Mailing address
413 Commonwealth Ave
Baltimore, MD 21228-3044
Registry dates
- Enumerated
- 2010-04-28
- Last updated
- 2010-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.