Individual provider Active NPI

Demitria Diann Hernandez, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1801034194
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50757 Issued in AZ
Practice address
170 William St
New York, NY 10038-2612
Phone
(212) 312-5780
Fax
(212) 312-5795
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262288-1 NY
Hospitalist Physician 208M00000X 50757 AZ
Internal Medicine Physician 207R00000X 50757 AZ Primary

Addresses

Primary practice location

170 William St
New York, NY 10038-2612

Mailing address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806010136 AZ Practitioner - HospitalistPractitioner - Internal Medicine 6800069824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HRMC, LLCGroup PAC ID 3072641265, 33 clinicians

Practice addresses (Care Compare)

1851 Mesquite Ave
Suite 202
Lake Havasu City, AZ 86403-5681
Phone (928) 854-0094

Hospital & facility affiliations

  • Havasu Regional Medical Center Home Health Home health agency, Lake Havasu City, AZ, CCN 037057
  • Foundation Home Health, LLC Home health agency, Lake Havasu City, AZ, CCN 037486
  • River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
  • Valley View Home Health Home health agency, Bullhead City, AZ, CCN 037412
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score
99.61 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262288-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc CurrentSince Nov 1, 2021 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 15, 2015 Accepting new patients
HRMC, LLC Current Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 15, 2015 Accepting new patients
Kingman Healthcare, Inc CurrentSince Nov 1, 2021 Accepting new patients
HRMC, LLC Internal Medicine CurrentSince Feb 15, 2025 Accepting new patients
Havasu Regional Medical Center LLC Past Accepting new patients
HRMC, LLC Past Accepting new patients
HRMC, LLC Internal Medicine Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1799 Kiowa Ave
Ste 104
Lake Havasu City, AZ 86403
Phone (928) 505-1030

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

Interoperability endpoints

  • Direct secure messaging: demitria.hernandez.1@19231.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hernandez.demitria@direct.azkrmc.md
  • Direct secure messaging: hernandez.demitria@st.direct.azkrmc.md

Organizations & group practices 9

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 7

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1801034194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101",
            "fax_number": "928-681-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "212-312-5780",
            "fax_number": "212-312-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DEMITRIA",
        "middle_name": "DIANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262288-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "50757",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.