Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Alexander Heckroth, MD

Individual provider Internal Medicine Physician · NPI 1780145219

Matthew Alexander Heckroth, MD is an Internal Medicine in St Augustine, Florida. Qualified in 2019, 7 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 W Town Pl Ste 109
St Augustine, FL 32092-3648
Phone: (904) 398-7205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 — (813) 745-4673

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME161079 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME161079 (FL)

Record details

NPI number1780145219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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