Individual provider Active NPI

Johan Sebastian Urena Hernandez, MD

  • Internal Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1083851851
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101246924 Issued in VA
Practice address
1661 S Main St
Harrisonburg, VA 22801-2728
Phone
(540) 564-7100
Fax
(757) 579-8634
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101246924 VA Primary

Addresses

Primary practice location

1661 S Main St
Harrisonburg, VA 22801-2728

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-5644

Other identifiers 1

IdentifierTypeStateIssuer
1083851851MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100924001092 VA Practitioner - Internal Medicine 0941326169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1380 Tuscany Dr
Virginia Beach, VA 23456-7751
Phone (757) 301-9230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Nov 12, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1871 Evelyn Byrd Ave
Rockingham, VA 22801
Phone (540) 434-0559

1380 Tuscany Dr
Virginia Beach, VA 23456
Phone (757) 252-9800

Interoperability endpoints

  • Direct secure messaging: jurenahernandez219546@direct.sentara.net

Organizations & group practices 2

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 9

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1083851851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-564-5644",
            "fax_number": "540-564-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012728",
            "telephone_number": "540-564-7100",
            "fax_number": "757-579-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URENA HERNANDEZ",
        "first_name": "JOHAN",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083851851",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.