MARIA DEL PILAR HERNANDEZ MD
NPI 1144471608
Internal Medicine - Gastroenterology in Miami, FL

Q: What is Maria Hernandez's NPI number?

The NPI number for Maria Hernandez is 1144471608. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Q: What is Maria Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Maria Hernandez was last updated on March 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment

82.63/100

CMS Quality Rating

1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-5757(305) 243-3877 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2020, May 10, 2017 (2 updates tracked since 2017).

On this page

About Maria Del Pilar Hernandez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA DEL PILAR HERNANDEZ MD (NPI 1144471608) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME116534) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1144471608

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameMARIA DEL PILAR HERNANDEZCredential: MD

Location Address1400 NW 12TH AVEMiami, FL 33136-1003

Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-5757 · Fax (305) 243-3877

Phone(305) 243-5757

Fax(305) 243-3877

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 2, 2008

Last NPPES UpdateMarch 19, 20202 updates tracked since enumeration

NPPES CertifiedMarch 19, 2020

✔ NPI 1144471608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME116534

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 35-093904. (OH), ME116534 (FL)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License ME102195 (FL)

1400 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Del Pilar Hernandez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658323340

PECOS Enrollment IDI20130917000175

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services45 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

40 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

22 services22 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services15 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

19 services19 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

13 services12 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100314

Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.96

Promoting Interoperability

100

Improvement Activities

Cost

67.14

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE F ANGEL M.D.

Anesthesiology

1400 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 325-5416

DR. DAVID M SEO MD

Internal Medicine (Cardiovascular Disease)

1400 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 325-5511

SENG FOOK LAM CRNA

Nurse Anesthetist, Certified Registered

1400 NW 12TH AVE, ANESTHESIA DEPT
MIAMI, FL 33136

Miami-Dade County (305) 325-5416

DR. JASWINDER SINGH SANDHU M.D.

Emergency Medicine

1400 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 547-6468

PVL ASSOCIATES OF CEDARS INC

Radiology (Diagnostic Radiology)

1400 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 325-5511

CEDARS HEALTHCARE GROUP, LTD.

General Acute Care Hospital

1400 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 325-5511

RICARDO J. DESOUZA CRNA

Nurse Anesthetist, Certified Registered

1400 NW 12TH AVE, ANESTHESIA DEPARTMENT
MIAMI, FL 33136

Miami-Dade County (305) 325-5416

FRANCISCO A KERDEL MD

Dermatology

1400 NW 12TH AVE, SUITE #4
MIAMI, FL 33136

Miami-Dade County (305) 324-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Hernandez's NPI number?

The NPI number for Maria Hernandez is 1144471608. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Maria Hernandez located?

Maria Hernandez practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-5757.

What is Maria Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Maria Hernandez enrolled in Medicare?

Yes. Maria Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maria Hernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare and 3 other insurers list Maria Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maria Hernandez affiliated with any hospitals?

According to CMS data, Maria Hernandez is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Maria Hernandez was last updated on March 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.