RAUL ALBERTO HERRERA PENA M.D.
NPI 1144636143
Internal Medicine - Endocrinology, Diabetes & Metabolism in Minneapolis, MN
About Raul Alberto Herrera Pena M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAUL ALBERTO HERRERA PENA M.D. (NPI 1144636143) is an individual endocrinology, diabetes & metabolism provider in Minneapolis, Minnesota, licensed in Minnesota (33274) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Raul Alberto Herrera Pena M.d. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Raul Herrera Pena reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Raul Herrera Pena's NPI number?
The NPI number for Raul Herrera Pena is 1144636143. It was assigned to this individual provider in the NPPES registry on July 10, 2014.
Where is Raul Herrera Pena located?
Raul Herrera Pena practices at 420 Delaware Street SE, Mmc 101, Minneapolis, MN 55455. The listed phone number is (612) 626-9943.
What is Raul Herrera Pena's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Raul Herrera Pena enrolled in Medicare?
Yes. Raul Herrera Pena 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.
Which organizations bill Medicare for Raul Herrera Pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raul Herrera Pena reassigns Medicare benefits to 6 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Herrera Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Raul Herrera Pena affiliated with any hospitals?
According to CMS data, Raul Herrera Pena is affiliated with M Health Fairview Southdale Hospital, M Health Fairview University Of Mn and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Raul Herrera Pena was last updated on June 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Raul Alberto Herrera Pena, M.D. · NPI 1144636143
Endocrinology, Diabetes & Metabolism physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since July 10, 2014.
## Identity
- **NPI:** 1144636143 (Entity type: Individual)
- **Enumerated:** July 10, 2014
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 33274 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 DELAWARE STREET SE, MMC 101, Minneapolis, MN 55455
- **Phone:** (612) 626-9943
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144636143) · Data from the CMS NPPES public registry.