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HUMBERTO BERNAL MD
NPI 1255306817
Obstetrics & Gynecology in Dearborn, MI

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
18100 OAKWOOD BLVD, STE 203, DEARBORN, MI 48124(313) 336-7400 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Humberto Bernal Md NPPES

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

HUMBERTO BERNAL MD (NPI 1255306817) is an individual obstetrics & gynecology provider in Dearborn, Michigan, licensed in Michigan (4301044715) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1255306817
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameHUMBERTO BERNALCredential: MD
Location Address18100 OAKWOOD BLVD, STE 203Dearborn, MI 48124-4085
Mailing Address18100 Oakwood Blvd, #203Dearborn, MI 48124-4071 · (313) 336-7400
Phone(313) 336-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 14, 2017
✔ NPI 1255306817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301044715
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
18100 OAKWOOD BLVD, Dearborn, MI 48124
Open in Google Maps ↗

Other Identifiers 3

OtherHB044715MI · Bcbs
Other383438259MI · Commercial
Medicaid3515265MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health 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

Humberto Bernal 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 ID6800784927
PECOS Enrollment IDI20040309000933
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 4

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 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.
100 services100 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
63 services63 patients
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.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230270
Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%143 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
96%114 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
99%129 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHELE L MACK CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000
MELODY Y LOWE CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000
VIOLET ASFOUR
Internal Medicine
18100 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2578
SUMMER ZAYED PA-C
Physician Assistant
18100 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 438-7992
ADVANCED PAIN & SPINE INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
18100 OAKWOOD BLVD, SUITE 203
DEARBORN, MI 48124
Wayne County (313) 434-7246
DR. NILOOFAR ANOOSHIRAVANI MD
Dermatology
18100 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 240-4900
CALVIN STEWART CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000
DAVID C WHITESELL CRNA
Nurse Anesthetist, Certified Registered
18100 OAKWOOD BLVD, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 253-2000

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 Humberto Bernal's NPI number?

The NPI number for Humberto Bernal is 1255306817. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Humberto Bernal located?

Humberto Bernal practices at 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124. The listed phone number is (313) 336-7400.

What is Humberto Bernal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Humberto Bernal enrolled in Medicare?

Yes. Humberto Bernal 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 Humberto Bernal accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Humberto Bernal 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 Humberto Bernal affiliated with any hospitals?

According to CMS data, Humberto Bernal is affiliated with Beaumont Hospital - Dearborn, Corewell Health Wayne Hospital, Beaumont Hospital - Farmington Hills, Corewell Health Trenton Hospital and Beaumont Hospital - Taylor.

When was this NPI record last updated?

The NPPES record for Humberto Bernal was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.