DR. CONRAD HERNANDEZ JR. VINALON (M.D.) – Family Medicine Physician, NPI 1174960694

DR. CONRAD HERNANDEZ JR. VINALON (M.D.) is a healthcare provider. based in St petersburg, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME121005 (FL). The NPI Number for DR. CONRAD HERNANDEZ JR. VINALON (M.D.) is 1174960694

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CONRAD HERNANDEZ JR. VINALON (M.D.)
NPI
1174960694
Phone
(727) 532-0002
Address
PO BOX 12868
Enumeration Date
23 May 2013
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7272191833
Graduation Year
2013 (13 years ago)
PAC ID
0840593612
Group Practice PAC ID
4486932100
Professional Enrollment ID
I20160128001295
Address ID
FL337564446CL855XXAVEX401

Contacts

Secure Messaging
conrad.vinalon@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. CONRAD HERNANDEZ JR. VINALON (M.D.)

  • PO BOX 12868

    ST PETERSBURG, FL 337332868

    Phone: (727) 532-0002

    Fax: (727) 266-4943

    Type: Mailing

  • 620 10TH ST N

    ST PETERSBURG, FL 337051407

    Phone: (727) 834-3120

    Fax: (727) 824-8319

    Type: Location

  • 620 10TH ST N STE 1E

    ST PETERSBURG, FL 337051407

    Phone: (727) 824-3120

    Fax: (727) 824-8313

    Type: Mailing

  • 855 S Highland Ave

    Clearwater, FL 337564446

    Phone: (727) 219-1833

    Fax: (727) 330-2908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160128001295IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33733)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486932100View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticeFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticePR
Family PracticeFL
Family PracticeNJ
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

Is there an official ID for DR. CONRAD HERNANDEZ JR. VINALON (M.D.) in U.S. healthcare records?
The official identifier for DR. CONRAD HERNANDEZ JR. VINALON (M.D.) is NPI 1174960694.
Would DR. CONRAD HERNANDEZ JR. VINALON (M.D.) appear as active to a payer?
You can treat DR. CONRAD HERNANDEZ JR. VINALON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CONRAD HERNANDEZ JR. VINALON (M.D.)?
DR. CONRAD HERNANDEZ JR. VINALON (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. CONRAD HERNANDEZ JR. VINALON (M.D.) located near St Petersburg?
DR. CONRAD HERNANDEZ JR. VINALON (M.D.) currently maps to St Petersburg, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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