Individual provider Active NPI

Maria Dolores Hernandez, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Carroll, IA
National Provider Identifier
1891960738
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
MD-43064 Issued in IA
Practice address
405 S Clark St Ste 100
Carroll, IA 51401-3047
Phone
(712) 792-2222
Fax
(712) 792-3875
NPI assigned
Apr 22, 2008
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD-43064 IA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD-43064 IA Primary

Addresses

Primary practice location

405 S Clark St Ste 100
Carroll, IA 51401-3047

Mailing address

405 S Clark St Ste 100
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210804001634 IL Practitioner - Obstetrics/Gynecology 3779659826

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

404 Jefferson St
Pella, IA 50219-1299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-43064IAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pella Regional Health Center CurrentSince Jul 1, 2023 Accepting new patients
Pella Regional Health Center CurrentSince Jul 1, 2023 Accepting new patients
Pella Regional Health Center Current Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA PastSince Jan 21, 2024 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

404 E 2nd St
Prairie City, IA 50228
Phone (515) 994-2617

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1891960738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST STE 100",
            "address_2": "SUITE 100",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013047",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST STE 100",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013047",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "DOLORES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IA",
            "license": "MD-43064",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IA",
            "license": "MD-43064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.