YAMILE HERNANDEZ MD
NPI 1265839781
General Practice in Miami, FL
NPI Status: Active since November 26, 2014
Contact Information
1149 SW 27TH AVE
MIAMI, FL
ZIP 33135
Phone: (305) 266-2929
Fax: (786) 453-7114
- Individual
- Female
- General Practice
- Accepts Insurance
- PECOS Enrolled
About YAMILE HERNANDEZ
This page provides the complete NPI Profile along with additional information for Yamile Hernandez, a primary care provider established in Miami, Florida with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1265839781 assigned on November 2014. The practitioner's primary taxonomy code is 208D00000X with license number ACN803 (FL). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1265839781
- Provider Name
- YAMILE HERNANDEZ MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1149 SW 27TH AVE MIAMI, FL 33135
- Location Phone
- (305) 266-2929
- Location Fax
- (786) 453-7114
- Mailing Address
- 5730 SW 74TH ST STE 200 SOUTH MIAMI, FL 33143
- Mailing Phone
- (305) 266-2929
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-26-2014
- Last Update Date
- 09-24-2019
- Code Navigator
A primary care provider (PCP) like Yamile Hernandez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ACN803
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 18958 (PR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Yamile Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 3 | 9 | 7 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 3 | 18 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 3 + 1 + 8 + 7 + 1 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1265839781 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972536902 | A&M MEDICAL EQUIPMENT SERVICES, INC Organization | Durable Medical Equipment & Medical Supplies | 1149 SW 27TH AVE 101 MIAMI, FL 33135 (305) 403-0931 |
| 1396857926 | A AND A MEDICAL GROUP Organization | General Practice | 1149 SW 27TH AVE SUITE 203 MIAMI, FL 33135 (305) 646-1000 |
| 1942457692 | ENRIQUE AYMERICH MD Individual | Family Medicine | 1149 SW 27TH AVE 2ND FLOOR. MIAMI, FL 33135 (305) 642-1588 |
| 1467835058 | MEDCARE QUALITY MEDICAL CENTERS LLC Organization | Clinic/Center (Primary Care) | 1149 SW 27TH AVE MIAMI, FL 33135 (305) 642-1588 |
| 1083089296 | MEDCARE QUALITY MEDICAL CENTERS, LLC Organization | Clinic/Center | 1149 SW 27TH AVE MIAMI, FL 33135 (305) 266-2929 |
| 1356394829 | A&C PAIN MANAGEMENT CORP Organization | Family Medicine | 1149 SW 27TH AVE SUITE 201 MIAMI, FL 33135 (305) 649-5306 |
| 1558842161 | MRS. ALINA RAFAELA MARTINEZ DUENAS ARNP Individual | Nurse Practitioner (Family) | 1149 SW 27TH AVE MIAMI, FL 33135 (305) 266-2929 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265839781, enumerated in the NPI registry as an "individual" on November 26, 2014
The provider is located at 1149 Sw 27th Ave Miami, Fl 33135 and the phone number is (305) 266-2929
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: Oscar Insurance Company of Florida and Wellpoint. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 26, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.