Individual provider Active NPI

Mark Steven Hernandez, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1093783490
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2976 Issued in TX
Practice address
601 E 15TH St
Brackenridge Hospital Annex
Austin, TX 78701-1930
Phone
(512) 324-8355
Fax
(512) 477-8933
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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 M2976 TX Primary

Addresses

Primary practice location

601 E 15TH St
Brackenridge Hospital Annex
Austin, TX 78701-1930

Mailing address

902 Polished Stone CV
Pflugerville, TX 78660-4795
Phone (512) 990-0123

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060816000527 TX Practitioner - Internal Medicine 5991708778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Clinic, LLPGroup PAC ID 0648281972, 18 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
Suite 400
Austin, TX 78705-1914
Phone (512) 454-5171

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Austin, TX, CCN 457050
  • Accentcare Home Health of Texas Home health agency, Austin, TX, CCN 679120
  • St. David'S Healthcare at Home Home health agency, Austin, TX, CCN 679682
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Clinic, LLP Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Internal Medicine Past Accepting new patients
Ascension Seton Internal Medicine Past Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients

Locations

1004 W 32nd St
Ste 400
Austin, TX 78705
Phone (512) 454-5171

Interoperability endpoints

  • Direct secure messaging: mark.hernandez.1@27378.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27378/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1093783490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 POLISHED STONE CV",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604795",
            "telephone_number": "512-990-0123",
            "fax_number": "512-477-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 15TH ST",
            "address_2": "BRACKENRIDGE HOSPITAL ANNEX",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011930",
            "telephone_number": "512-324-8355",
            "fax_number": "512-477-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.