Active NPI
Hernan Sierra Fernandez, M.D.
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036-120314
- Practice address
- 840 S Wood St
CSB 1262, M/C 856
Chicago, IL 60612-4325 - Phone
- (312) 355-3282
- Fax
- (312) 355-5548
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A105435 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036-120314 | IL | Primary |
Addresses
Primary practice location
840 S Wood St
CSB 1262, M/C 856
Chicago, IL 60612-4325
Mailing address
130 N Garland CT Apt 1703
Chicago, IL 60602-4768
Phone (312) 810-4065
Other practice location 1
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (312) 810-4065
Other practice location 2
345 Smith Ave N
Saint Paul, MN 55102-2346
Phone (312) 810-4065
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105435 | CA | MD | Neonatal-Perinatal Medicine Physician |
| 036-120314 | IL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Bonaventure Medical Foundation, LLC | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Ram Velamati MD SC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Locations
2020 Ogden Ave
Ste 400
Aurora, IL 60504
Phone (630) 375-2925
840 S Wood St
#1262
Chicago, IL 60612
Phone (312) 355-3282
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
Interoperability endpoints
- hsierra10439@direct.rush.rush-health.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Pediatrics Physician
- Chicago, IL
- NPI 1093934275
Neonatal-Perinatal Medicine
-
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
- NPI 1124106141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1104074749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N GARLAND CT APT 1703",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024768",
"telephone_number": "312-810-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S WOOD ST",
"address_2": "CSB 1262, M/C 856",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325",
"telephone_number": "312-355-3282",
"fax_number": "312-355-5548"
}
],
"practiceLocations": [
{
"address_1": "2525 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554044518",
"country_code": "US",
"telephone_number": "312-810-4065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 Smith Ave N",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022346",
"country_code": "US",
"telephone_number": "312-810-4065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIERRA FERNANDEZ",
"first_name": "HERNAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A105435",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036-120314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.