Active NPI
Maria Dolores Hernandez, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Carroll, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- MD-43064
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210804001634 | IL | Practitioner - Obstetrics/Gynecology | 3779659826 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- 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 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-43064 | IA | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| University of MD Obstetrical and Gynecological Asso. PA | Past | 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.
-
dba Pella Regional Prairie City Pharmacy
- Community/Retail Pharmacy
- Prairie City, IA
- NPI 1033787445
-
dba Pella Medical Clinic
- Multi-Specialty Clinic/Center
- Pella, IA
- NPI 1053369405
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1144252990
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.