Individual provider Active NPI

Matthew Hernandez

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1174340830
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1177091 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-3431
NPI assigned
Sep 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN206009 AZ
Certified Registered Nurse Anesthetist 367500000X 1177091 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

2233 Irwin St
Fort Worth, TX 76110-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105003473 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921532573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431

2001 W Rosedale St
Texas Health Surgery Center Fort Wo
Fort Worth, TX 76104-4041
Phone (817) 877-4777

800 W Randol Mill Rd
Greater Houston Anesthesiology
Arlington, TX 76012-2504
Phone (817) 960-6536

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN206009AZMDRegistered Nurse
1177091TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Anesthesiology of Texas PLLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Single Specialty CurrentSince Aug 27, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 27, 2025 Accepting new patients
Texas Anesthesia Partners, PLLC Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Arcadia Anesthesia PA Single Specialty CurrentSince Sep 10, 2024 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 265-9991

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

416 S Henderson St
Ft Worth, TX 76104
Phone (682) 478-8123

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

6101 Windhaven Pkwy
Ste 195
Plano, TX 75093
Phone (214) 532-7629

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 5

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 2

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1174340830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 IRWIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN206009",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1177091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.