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DR. LEONEL FERNANDO HERNANDEZ AYA MD
NPI 1427288893
Internal Medicine - Medical Oncology in Miami, FL

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1475 NW 12TH AVE FL 2, MIAMI, FL 33136(305) 243-5302(305) 243-9161 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Jul 7, 2021, Jun 13, 2019 and 2 more (5 updates tracked since 2015).

About Dr. Leonel Fernando Hernandez Aya Md NPPES

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

DR. LEONEL FERNANDO HERNANDEZ AYA MD (NPI 1427288893) is an individual medical oncology provider in Miami, Florida, licensed in Florida (ME149894) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1427288893
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. LEONEL FERNANDO HERNANDEZ AYACredential: MD
Location Address1475 NW 12TH AVE FL 2Miami, FL 33136-1002
Mailing Address1475 Nw 12th Ave Fl 2Miami, FL 33136-1002 · (305) 243-5302 · Fax (305) 243-9161
Phone(305) 243-5302
Fax(305) 243-9161
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 20, 2009
Last NPPES UpdateSeptember 8, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1427288893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in FL · ME149894
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1475 NW 12TH AVE FL 2, Miami, FL 33136
Open in Google Maps ↗

Other Identifiers 1

MedicaidENROLLEDIL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Leonel Fernando Hernandez Aya 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 ID7517271992
PECOS Enrollment IDI20210512000881
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 6

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.
196 services69 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.
79 services40 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.
45 services34 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.
31 services27 patients
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.
19 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

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.

New Patient
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD MARATEA MD
Anesthesiology
1475 NW 12TH AVE FL 2
MIAMI, FL 33136
Miami-Dade County (305) 243-5201
JASHODEEP DATTA M.D.
Surgery (Surgical Oncology)
1475 NW 12TH AVE FL 2
MIAMI, FL 33136
Miami-Dade County (305) 243-4902
DR. JENNIFER C TANG MD
Dermatology (MOHS-Micrographic Surgery)
1475 NW 12TH AVE FL 2
MIAMI, FL 33136
Miami-Dade County (305) 243-3380
GILBERTO LOPES MD
Internal Medicine (Medical Oncology)
1475 NW 12TH AVE FL 2
MIAMI, FL 33136
Miami-Dade County (305) 243-1000
CARL LANDGREN MD
Internal Medicine (Hematology & Oncology)
1475 NW 12TH AVE FL 2
MIAMI, FL 33136
Miami-Dade County (305) 243-5302

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 Leonel Hernandez Aya's NPI number?

The NPI number for Leonel Hernandez Aya is 1427288893. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Leonel Hernandez Aya located?

Leonel Hernandez Aya practices at 1475 NW 12th Ave Fl 2, Miami, FL 33136. The listed phone number is (305) 243-5302.

What is Leonel Hernandez Aya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Leonel Hernandez Aya enrolled in Medicare?

Yes. Leonel Hernandez Aya 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 Leonel Hernandez Aya accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Leonel Hernandez Aya 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 Leonel Hernandez Aya affiliated with any hospitals?

According to CMS data, Leonel Hernandez Aya is affiliated with Jackson Health System, Barnes Jewish Hospital, Barnes-Jewish West County Hospital and Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Leonel Hernandez Aya was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.