1. Home
  2. Directory
  3. Michigan
  4. Roseville
  5. Obstetrics Gynecology
  6. NPI Profile

DR. MADELINE R HERRERA DO
NPI 1427679026
Obstetrics & Gynecology in Roseville, MI

Active since May 05, 2020PECOS EnrolledAccepts Medicare Assignment
29751 LITTLE MACK AVE STE B, ROSEVILLE, MI 48066(586) 415-6200(586) 415-6217 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Apr 14, 2026, Sep 17, 2024 and 2 more (5 updates tracked since 2020).

About Dr. Madeline R Herrera Do NPPES

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

DR. MADELINE R HERRERA DO (NPI 1427679026) is an individual obstetrics & gynecology provider in Roseville, Michigan, licensed in Michigan (5101028190) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427679026
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MADELINE R HERRERACredential: DO
Location Address29751 LITTLE MACK AVE STE BRoseville, MI 48066-6504
Mailing Address29751 Little Mack AveRoseville, MI 48066-6503
Phone(586) 415-6200
Fax(586) 415-6217
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2020
Enumeration DateMay 5, 2020
Last NPPES UpdateApril 27, 20265 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1427679026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MI · 5101028190✔ Licensed in GA · 111681
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.
29751 LITTLE MACK AVE STE B, Roseville, MI 48066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 128050 Grand River AveFarmington Hills, MI 48336-5919 · Phone (947) 521-7393
Location 2500 Medical Center Blvd Ste 190Lawrenceville, GA 30046-3379 · Phone (770) 643-4115 · Fax (678) 377-3820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Madeline R Herrera Do 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 ID5193156768
PECOS Enrollment IDI20240814001006
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Madeline Herrera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Together Women's Health Medical Group, P.C.
Same address
Obstetrics & Gynecology
29751 LITTLE MACK AVE, SUITE B
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
  • 99 clinicians in this Medicare group
NPI 1750415915 (586) 415-6200
Henry Ford Health St. John Hospital
0.5 mi
Otolaryngology
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
  • Reassigned Medicare billing, Michigan enrollment
  • 520 clinicians in this Medicare group
NPI 1376820605 (586) 779-7610
Gwinnett Physician Group, LLC
593 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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.

Other Providers at the Same Location NPPES 8

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

DR. NGOZIKA GENEVIEVE ONYIUKE MD
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
DR. ALYSE MICHELLE VICTOR MD
Obstetrics & Gynecology (Obstetrics)
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
ALYSSA S HERRMANN MD
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
SARA HAIDAR M.D.
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
EMMA CHRISTINE FLYNN-KOPKO DO
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
EYITEMI FREGENE MD, MPH
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
DR. CARMEN A LAFIA MD
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200
DR. JOANA BARTH MD
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Macomb County (586) 415-6200

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 Madeline Herrera's NPI number?

The NPI number for Madeline Herrera is 1427679026. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Madeline Herrera located?

Madeline Herrera practices at 29751 Little Mack Ave Ste B, Roseville, MI 48066. The listed phone number is (586) 415-6200.

What is Madeline Herrera's specialty?

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

Is Madeline Herrera enrolled in Medicare?

Yes. Madeline Herrera 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 Madeline Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Herrera reassigns Medicare benefits to 3 organizations: Together Women's Health Medical Group, P.C. (Roseville, MI), Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Gwinnett Physician Group, LLC (Lawrenceville, GA). 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 Madeline Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Herrera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Madeline Herrera 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 Madeline Herrera affiliated with any hospitals?

According to CMS data, Madeline Herrera is affiliated with Beaumont Hospital - Grosse Pointe and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Herrera was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.