MARIDEL AILEEN HERNANDEZ (DO) – Internal Medicine Physician, NPI 1023013711

MARIDEL AILEEN HERNANDEZ (DO) is a healthcare provider. based in Saint clair shores, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 5101012021 (MI). The NPI Number for MARIDEL AILEEN HERNANDEZ (DO) is 1023013711

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MARIDEL AILEEN HERNANDEZ (DO)
NPI
1023013711
Phone
(586) 445-7900
Address
19603 E 8 MILE RD
Enumeration Date
17 June 2005
Last Update Date
19 October 2009

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3136408400
Graduation Year
1993 (33 years ago)
PAC ID
8022032366
Professional Enrollment ID
I20060127000359
Address ID
MI480821610SA30140AVEX302
Telehealth
Yes
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

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for MARIDEL AILEEN HERNANDEZ (DO)

  • 19603, East 8 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    SAINT CLAIR SHORES, MI 480801655

    Phone: (586) 445-7900

    Fax: (586) 445-7940

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($25).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2006-01-27

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
I20060127000359IInternal MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes15288$0
99215Established patient office or other outpatient visit, 40-54 minutes12973$0
81002Urinalysis, manual test5350$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
82962Blood glucose (sugar) test performed by hand-held instrument3728$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Reviews

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Frequently asked questions

Can I verify MARIDEL AILEEN HERNANDEZ (DO) with an NPI only?
You can start verification with NPI 1023013711 for MARIDEL AILEEN HERNANDEZ (DO), then check state licensing separately.
Can I rely on MARIDEL AILEEN HERNANDEZ (DO) being an active provider?
As of the registry snapshot, MARIDEL AILEEN HERNANDEZ (DO) is marked active.
What is MARIDEL AILEEN HERNANDEZ (DO) best known for clinically?
Directory data describes MARIDEL AILEEN HERNANDEZ (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARIDEL AILEEN HERNANDEZ (DO) list a practice location?
Patients near Saint Clair Shores, Michigan may find MARIDEL AILEEN HERNANDEZ (DO) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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