Individual provider Active NPI

Carolina Maria Hernandez, MD

  • Internal Medicine Physician
  • Stafford, VA
National Provider Identifier
1073559969
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101242691 Issued in VA
Practice address
450 Garrisonville Rd
Suite 215
Stafford, VA 22554-1532
Phone
(540) 318-8167
Fax
(540) 318-8165
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101242691 VA Primary

Addresses

Primary practice location

450 Garrisonville Rd
Suite 215
Stafford, VA 22554-1532

Mailing address

450 Garrisonville Rd
Suite 215
Stafford, VA 22554-1532
Phone (540) 318-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000807 VA Practitioner - Internal Medicine 2163597907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

450 Garrisonville Rd
Suite 215
Staffprd, VA 22554-1615

Hospital & facility affiliations

  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101242691VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrohealth Internal Medicine, PC Internal Medicine CurrentSince May 1, 2008 Accepting new patients
New Hanover Community Health Center Incorporated PastSince Jan 14, 2024 Accepting new patients
New Hanover Community Health Center Incorporated Past Accepting new patients

Locations

450 Garrisonville Rd
Ste 215
Stafford, VA 22554
Phone (540) 318-8167

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFEDD/Endpoint/DCFEDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1073559969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD",
            "address_2": "SUITE 215",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541532",
            "telephone_number": "540-318-8167",
            "fax_number": "540-318-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD",
            "address_2": "SUITE 215",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541532",
            "telephone_number": "540-318-8167",
            "fax_number": "540-318-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CAROLINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.