MARIA DOLORES HERNANDEZ (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1891960738

MARIA DOLORES HERNANDEZ (M.D.) is a healthcare provider. based in Carroll, Iowa. specializing in OBSTETRICS/GYNECOLOGY, UROLOGY. They hold the professional credentials M.D.. They hold a License No. MD-43064 (IA). The NPI Number for MARIA DOLORES HERNANDEZ (M.D.) is 1891960738

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MARIA DOLORES HERNANDEZ (M.D.)
NPI
1891960738
Phone
(712) 792-2222
Address
405 S CLARK ST
Enumeration Date
22 April 2008
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6416283832
Graduation Year
2004 (22 years ago)
PAC ID
3779659826
Group Practice PAC ID
9931005873
Professional Enrollment ID
I20160115001293
Address ID
IA502191189PE405XXSTXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

788 OBSTETRICS/GYNECOLOGY in AZ

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Provider Addresses for MARIA DOLORES HERNANDEZ (M.D.)

  • 405, South Clark Street, Rolling Hills, Carroll, Carroll County, Iowa, 51401, United States

    STE 100

    CARROLL, IA 514013047

    Phone: (712) 792-2222

    Type: Mailing

  • Maricopa Medical Center, 2601, East Roosevelt Street, Phoenix, Maricopa County, Arizona, 85008, United States

    ATTN: STELLA GARCIA

    PHOENIX, AZ 850084973

    Phone: (602) 344-5444

    Fax: (602) 344-5894

    Type: Location

  • 2601 E Roosevelt St

    Attn: Stella Garcia

    Phoenix, AZ 850084973

    Phone: (602) 344-5444

    Fax: (602) 344-5894

    Type: Location

  • 405 S CLARK ST STE 100

    SUITE 100

    CARROLL, IA 514013047

    Phone: (712) 792-2222

    Fax: (712) 792-3875

    Type: Mailing

  • 1120 N MELVIN ST

    GIBSON CITY, IL 609361477

    Phone: (217) 784-4251

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,082.

Total Amount is formed as General ($1,082) + Research ($0) + Ownership ($0) = $1,082.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Axonics, Inc. ($855).

Total Amount

$1,082

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2021-08-04

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
I20160115001293IObstetrics/GynecologyIATBD
I20210804001634IObstetrics/GynecologyILTBD

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 51401)

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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: 9931005873View full group profile
NameSpecialtyState
-IA
-IN
Internal Medicine, Pulmonary Disease, Sleep MedicineIA
Pulmonary DiseaseIA
Family Practice, Obstetrics/GynecologyIA
-IA
Physical Therapist In Private PracticeIA
Diagnostic RadiologyIA
-IA
-IA

Reviews

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Frequently asked questions

How do I look up MARIA DOLORES HERNANDEZ (M.D.) by NPI?
Use NPI 1891960738 when you need to reference MARIA DOLORES HERNANDEZ (M.D.) in forms, claims, or directories.
Is MARIA DOLORES HERNANDEZ (M.D.) currently active in the NPI registry?
CMS-published data lists MARIA DOLORES HERNANDEZ (M.D.) as an active registrant.
Does MARIA DOLORES HERNANDEZ (M.D.) list a primary specialty?
If you are matching referrals, note Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician for MARIA DOLORES HERNANDEZ (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MARIA DOLORES HERNANDEZ (M.D.)?
The snapshot lists Carroll, Iowa for MARIA DOLORES HERNANDEZ (M.D.); download NPPES for the complete set.
What if Carroll, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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