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MARIA JOSE BERNAL RIERA MD
NPI 1144872425
Internal Medicine - Endocrinology, Diabetes & Metabolism in Madison, WI

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment
4621 EASTPARK BLVD, MADISON, WI 53718(608) 916-0300 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Sep 26, 2024, Jul 16, 2019 (3 updates tracked since 2019).

About Maria Jose Bernal Riera Md NPPES

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

MARIA JOSE BERNAL RIERA MD (NPI 1144872425) is an individual endocrinology, diabetes & metabolism provider in Madison, Wisconsin, licensed in Florida (ME165554) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1144872425
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMARIA JOSE BERNAL RIERACredential: MD
Location Address4621 EASTPARK BLVDMadison, WI 53718-2000
Mailing Address14260 W Newberry Rd # N232Newberry, FL 32669-2765 · (727) 609-5610 · Fax (727) 265-3007
Phone(608) 916-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 16, 2019
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1144872425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in FL · ME165554✔ Licensed in WI · 84694-20
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4621 EASTPARK BLVD, Madison, WI 53718
Open in Google Maps ↗

Secondary Practice Location 1

Location 17901 4th St N Ste 18181St Petersburg, FL 33702-4305 · Phone (727) 609-5610 · Fax (727) 265-3007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Maria Jose Bernal Riera 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 ID1456729581
PECOS Enrollment IDI20250813002455
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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Bernal Riera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
12 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
26 services22 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

PROF. CHARLENE JOAN SCHULZ M.S., DRPH
Genetic Counselor, MS
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 504-4286
DANIELLE GILL PHARMACIST
Pharmacist
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 914-0100
TAYLOR FLETCHER SLP
Speech-Language Pathologist
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 916-0100
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Durable Medical Equipment & Medical Supplies
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 914-0100
TRAVIS JORDAN DANIEL MS
Psychologist
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 915-0100
DEVON MILLER
Internal Medicine (Hematology & Oncology)
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 915-0100
SHANAYA BEDFORD
Genetic Counselor, MS
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 916-0196
BABAK VAKILI MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4621 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 914-0800

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 Bernal Riera's NPI number?

The NPI number for Maria Bernal Riera is 1144872425. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Maria Bernal Riera located?

Maria Bernal Riera practices at 4621 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 916-0300.

What is Maria Bernal Riera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Maria Bernal Riera enrolled in Medicare?

Yes. Maria Bernal Riera 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 organization bills Medicare for Maria Bernal Riera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Bernal Riera reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The 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 Maria Bernal Riera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Bernal Riera accept?

Health plans from Anthem Blue Cross and Blue Shield list Maria Bernal Riera 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 Bernal Riera affiliated with any hospitals?

According to CMS data, Maria Bernal Riera is affiliated with St Lukes Hospital, Fort Memorial Hospital, Marshfield Medical Center - Beaver Dam (mmc-Bd), Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Maria Bernal Riera was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.