MARIDEL HERNANDEZ INTERNAL MEDICINE PC
NPI 1366526378
Internal Medicine in Grosse Pointe Farms, MI

Active since October 25, 2006CLIA 23D1067076 · Waiver
131 KERCHEVAL AVE, SUITE 120, GROSSE POINTE FARMS, MI 48236(313) 640-8400(313) 640-9232 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maridel Hernandez Internal Medicine Pc NPPES

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

MARIDEL HERNANDEZ INTERNAL MEDICINE PC (NPI 1366526378) is a healthcare organization registered as an internal medicine in Grosse Pointe Farms, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Maridel Hernandez, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1366526378
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARIDEL HERNANDEZ INTERNAL MEDICINE PC
Location Address131 KERCHEVAL AVE, SUITE 120Grosse Pointe Farms, MI 48236-3629
Mailing Address131 Kercheval Ave, Suite 120Grosse Pointe Farms, MI 48236-3629 · (313) 640-8400 · Fax (313) 640-9232
Fax(313) 640-9232
Organization SubpartNo
Authorized OfficialMaridel HernandezOwner Ceo · (313) 640-8400
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 12, 2011
NPI 1366526378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5101012021
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.

131 KERCHEVAL AVE, Grosse Pointe Farms, MI 48236

Other Identifiers 5

Other1158213464MI · Blue Cross Blue Shield
Medicare ID-Type Unspecified0P26860MI
Medicaid4869383-11MI
Other0E02258MI · Bcbs Pin
Medicare UPING60866MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1067076

Maridel A Hernandez Internal Medicine PC · Saint Clair Shores, MI
Active · expires Apr 9, 2027
CLIA Number23D1067076
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorMaridel A. Hernandez
Laboratory Phone(313) 640-8400
Laboratory LocationMaridel A Hernandez Internal Medicine PC30140 Harper Avenue Suite 300, Saint Clair Shores, MI 48082
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Social Worker (Clinical)
131 KERCHEVAL AVE, SUITE 305
GROSSE POINTE FARMS, MI 48236
Psychologist
131 KERCHEVAL AVE, SUITE 390
GROSSE POINTE FARMS, MI 48236
Nurse Practitioner (Psychiatric/Mental Health)
131 KERCHEVAL AVE, SUITE 390
GROSSE POINTE FARMS, MI 48236
Psychiatry & Neurology (Psychiatry)
131 KERCHEVAL AVE, SUITE 390
GROSSE POINTE FARMS, MI 48236
Social Worker (Clinical)
131 KERCHEVAL AVE, 390
GROSSE POINTE FARMS, MI 48236
Pharmacy Technician
131 KERCHEVAL AVE, SUITE 110
GROSSE POINTE FARMS, MI 48236
Pharmacist
131 KERCHEVAL AVE, SUITE #110
GROSSE POINTE FARMS, MI 48236
Psychiatry & Neurology (Psychiatry)
131 KERCHEVAL AVE, SUITE 390
GROSSE POINTE FARMS, MI 48236

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 Maridel Hernandez Internal Medicine PC's NPI number?

The NPI number for Maridel Hernandez Internal Medicine PC is 1366526378. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Maridel Hernandez Internal Medicine PC located?

Maridel Hernandez Internal Medicine PC is located at 131 Kercheval Ave Suite 120, Grosse Pointe Farms, MI 48236. The listed phone number is (313) 640-8400.

What is Maridel Hernandez Internal Medicine PC's specialty?

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

Does Maridel Hernandez Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1067076) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maridel Hernandez Internal Medicine PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Maridel Hernandez Internal Medicine PC 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 Maridel Hernandez Internal Medicine PC was last updated on January 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.