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DR. SHEILA DENNISS HERNANDEZ MD
NPI 1356906747
Internal Medicine in Dothan, AL

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
1108 ROSS CLARK CIR STE 210, DOTHAN, AL 36301(334) 712-3329 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2022, May 1, 2019 (2 updates tracked since 2019).

About Dr. Sheila Denniss Hernandez Md NPPES

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

DR. SHEILA DENNISS HERNANDEZ MD (NPI 1356906747) is an individual internal medicine provider in Dothan, Alabama, licensed in Alabama (44721) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356906747
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHEILA DENNISS HERNANDEZCredential: MD
Location Address1108 ROSS CLARK CIR STE 210Dothan, AL 36301-3022
Mailing Address601 9th Ct SBirmingham, AL 35205-4511 · (347) 267-8442
Phone(334) 712-3329
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 1, 2019
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1356906747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 44721
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1108 ROSS CLARK CIR STE 210, Dothan, AL 36301
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Other Identifiers 1

Medicaid10061865AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Sheila Denniss 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 ID9739565417
PECOS Enrollment IDI20240924004410
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 5

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.

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.
430 services190 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
133 services67 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
116 services113 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.
52 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

ANDREW JOSEPH HORTON DO
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
DR. SACHARY ROSADO CARABALLO MD
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
SINDHU YARRABELLI MD
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
BAHAA NAJI BAYER BATAYNEH MD
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
REBEEN DARWISH
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
MUHAMMAD ABDULLAH NOOR MD
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
CARLENE SCOTT MD
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329
ANITA NWILOH
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR STE 210
DOTHAN, AL 36301
Houston County (334) 712-3329

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 Sheila Hernandez's NPI number?

The NPI number for Sheila Hernandez is 1356906747. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Sheila Hernandez located?

Sheila Hernandez practices at 1108 Ross Clark Cir Ste 210, Dothan, AL 36301. The listed phone number is (334) 712-3329.

What is Sheila Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheila Hernandez enrolled in Medicare?

Yes. Sheila 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 Sheila Hernandez accept?

Health plans from Oscar Insurance Company list Sheila 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 Sheila Hernandez affiliated with any hospitals?

According to CMS data, Sheila Hernandez is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Hernandez was last updated on July 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.