Wilson Leon Hernandez, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

K3232 Issued in TX

Practice address

12606 Greenville Ave
Suite 160
Dallas, TX 75243-1921

Phone

(214) 691-9377

Fax

(214) 853-9415

NPI assigned

Oct 14, 2005

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Radiation Oncology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as group

Quality

97.48

Promoting interoperability

100

Improvement activities

40

Cost

69.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilson.hernandez.p1@direct.urologyclinics.nextgenshare.com

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.

• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Dallas, TX
  • NPI 1720031370

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Urology Clinics of North Texas, PLLC

  • Specialist
  • Grapevine, TX
  • NPI 1780971549
  NPD
• Urology Clinics of North Texas PLLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1528237260
  NPD (past)
• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Plano, TX
  • NPI 1114186616

  Radiation Oncology

  NPD (past)
• Florida Institute of Research Medicine and Surgery PA

  dba Cancer Centers of Florida

  • Hematology & Oncology Physician
  • Orlando, FL
  • NPI 1053388538

  Radiation Oncology

  NPD (past)
• Integrated Community Oncology Network LLC

  dba Florida Radiation Oncology Group

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1043230402
  NPD (past)
• Integrated Community Oncology Network LLC

  dba Florida Radiation Oncology Group

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1548295850
  NPD (past)
• Integrated Community Oncology Network LLC

  dba Florida Radiation Oncology Group

  • Radiation Oncology Physician
  • Jacksonville Beach, FL
  • NPI 1760417042
  NPD (past)
• Memorial Southside Cancer Center LLC

  dba Memorial Cancer Center

  • Radiation Oncology Clinic/Center
  • Jacksonville, FL
  • NPI 1588724033
  NPD (past)
• North Florida Cancer Center Lake City LLC

  dba The Cancer Center at Lake City

  • Radiation Oncology Physician
  • Lake City, FL
  • NPI 1902893902
  NPD (past)
• North Florida Cancer Center Live Oak LLC

  • Radiation Oncology Physician
  • Live Oak, FL
  • NPI 1730176215
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1023007739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "SUITE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "214-691-9377",
            "fax_number": "214-853-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "WILSON",
        "middle_name": "LEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "K3232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042232104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8AE57",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR PROVIDER",
            "identifier": "P00473193",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosiceli Hernandez, LPC
• Susan Margaret Hernandez, AG-ACNP-BC, FNP-C
• Susana Hernandez
• Tina Hernandez, MBA
• Virginia B Hernandez
• Yessenia Hernandez
• Yolanda Hernandez, RN
• Emily Susanne Herndon, MD
• James H Herndon Jr., M.D.
• James K Herndon, DDS

• Radiation Oncology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.

Verify at the official NPI Registry.