DR. RICHARD HERNANDEZ (MD) – Family Medicine Physician, NPI 1194701540

DR. RICHARD HERNANDEZ (MD) is a healthcare provider. based in Melbourne, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME58637 (FL). The NPI Number for DR. RICHARD HERNANDEZ (MD) is 1194701540

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD HERNANDEZ (MD)
NPI
1194701540
Phone
(321) 253-4032
Address
6300 N Wickham Rd Ste B
Enumeration Date
19 December 2005
Last Update Date
4 October 2019

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
9042826331
Graduation Year
1984 (42 years ago)
PAC ID
3274529771
Group Practice PAC ID
1254238579
Professional Enrollment ID
I20040421000891
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. RICHARD HERNANDEZ (MD)

  • 6300 N Wickham Rd Ste B

    Melbourne, FL 329402028

    Phone: (321) 253-4032

    Fax: (321) 253-4125

    Type: Location

  • Bulldog Boulevard, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013188

    Phone: (321) 727-2990

    Fax: (321) 724-0455

    Type: Mailing

  • Minton Road Northwest, Palm Bay, Brevard County, Florida, 32907, United States

    PALM BAY, FL 329071900

    Phone: (321) 724-1172

    Fax: (321) 984-7695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040421000891IInternal MedicineFLTBD
I20160518000255IFamily PracticeTXTBD

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 32940)

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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: 1254238579View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. RICHARD HERNANDEZ (MD)?
The registry entry for DR. RICHARD HERNANDEZ (MD) shows NPI 1194701540.
Is DR. RICHARD HERNANDEZ (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. RICHARD HERNANDEZ (MD) as active.
What type of care does DR. RICHARD HERNANDEZ (MD) provide?
DR. RICHARD HERNANDEZ (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RICHARD HERNANDEZ (MD)?
DR. RICHARD HERNANDEZ (MD) is associated with Melbourne, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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