Individual provider Active NPI

Rafaela Gutierrez Hernandez, M.D.

  • Obstetrics & Gynecology Physician
  • Reno, NV
National Provider Identifier
1154413813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10759 Issued in NV
Practice address
236 W 6TH St
#301
Reno, NV 89503-4590
Phone
(775) 348-2983
Fax
(775) 348-2975
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10759 NV Primary

Addresses

Primary practice location

236 W 6TH St
#301
Reno, NV 89503-4590

Mailing address

236 W 6TH St
#301
Reno, NV 89503-4590
Phone (775) 348-2983

Other identifiers 1

IdentifierTypeStateIssuer
NV1025OtherNVANTHEM B/C B/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040614000936 NV Practitioner - Obstetrics/Gynecology 9032193529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nevada School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 W 6TH St
Suite 303
Reno, NV 89503-4590
Phone (775) 337-8400

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rafaela G Hernandez MD CHTD CurrentSince Mar 11, 2008 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

236 W 6th St
Ste 303
Reno, NV 89503
Phone (775) 337-8400

236 W 6th St
Ste 301
Reno, NV 89503
Phone (775) 348-2983

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 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154413813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "address_2": "#301",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034590",
            "telephone_number": "775-348-2983",
            "fax_number": "775-348-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "address_2": "#301",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034590",
            "telephone_number": "775-348-2983",
            "fax_number": "775-348-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAFAELA",
        "middle_name": "GUTIERREZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "10759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C B/S",
            "identifier": "NV1025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.