Individual provider Active NPI

Judith F. Hernaez, MD

  • Family Medicine Physician
  • Waipahu, HI
National Provider Identifier
1124289566
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD15869 Issued in HI
Practice address
94-873 Farrington Hwy Ste 103
Waipahu, HI 96797-3150
Phone
(808) 677-0774
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD15869 HI Primary

Addresses

Primary practice location

94-873 Farrington Hwy Ste 103
Waipahu, HI 96797-3150

Mailing address

94-873 Farrington Hwy Ste 103
Waipahu, HI 96797-3150
Phone (808) 677-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20151208000704 HI Practitioner - Family Practice 3072813427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

94-873 Farrington Hwy
Suite 103
Waipahu, HI 96797-3150
Phone (808) 677-0774

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15869HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judith F Hernaez MD LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

94-873 Farrington Hwy
Ste 103
Waipahu, HI 96797
Phone (808) 677-0774

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Interoperability endpoints

  • Direct secure messaging: judith.hernaez@373415796211716.direct.elationemr.com

Organizations & group practices 1

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 4

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1124289566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY STE 103",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-677-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY STE 103",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-677-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNAEZ",
        "first_name": "JUDITH",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD15869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.