RAFAEL J HERNANDEZ MD
NPI 1346879061
Internal Medicine in Miami, FL
About Rafael J Hernandez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAFAEL J HERNANDEZ MD (NPI 1346879061) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME166652) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Rafael J 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.
Medicare Billing Reassignments
3Medicare enrollment records show Rafael Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Shell Knob, MO 65747
- Reassigned Medicare billing, Missouri enrollment
- 50 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 157 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.
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.
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.
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.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
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 Rafael Hernandez's NPI number?
The NPI number for Rafael Hernandez is 1346879061. It was assigned to this individual provider in the NPPES registry on April 4, 2020.
Where is Rafael Hernandez located?
Rafael Hernandez practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-5215.
What is Rafael Hernandez's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Rafael Hernandez enrolled in Medicare?
Yes. Rafael 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.
Which organizations bill Medicare for Rafael Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Hernandez reassigns Medicare benefits to 3 organizations: University Of Miami (Miami, FL), Cox-Monett Hospital Inc (Shell Knob, MO) and Lester E Cox Medical Centers (Springfield, MO). 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 Rafael Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafael Hernandez accept?
Health plans from AmeriHealth Caritas Next, Cox HealthPlans, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Rafael 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.
When was this NPI record last updated?
The NPPES record for Rafael Hernandez was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rafael J Hernandez, MD · NPI 1346879061
Internal Medicine physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 4, 2020.
## Identity
- **NPI:** 1346879061 (Entity type: Individual)
- **Enumerated:** April 4, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME166652 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12TH AVE, Miami, FL 33136-1005
- **Phone:** (305) 585-5215
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1013967827, Miami, FL); Cox-Monett Hospital Inc (NPI 1215396635, Shell Knob, MO); Lester E Cox Medical Centers (NPI 1184372674, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346879061) · Data from the CMS NPPES public registry.