Active NPI
Julian Hernandez Carvajal, PA-C
- Physician Assistant
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 083662
- Practice address
- 1227 E Rusholme St
Davenport, IA 52803-2459 - Phone
- (563) 421-6610
- Fax
- (563) 421-7719
- NPI assigned
- Aug 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 083662 | IA | Primary |
| Physician Assistant | 363A00000X | PA61456947 | WA | |
| Physician Assistant | 363A00000X | PA19163 | TX |
Addresses
Primary practice location
1227 E Rusholme St
Davenport, IA 52803-2459
Mailing address
PO Box 4028
Rock Island, IL 61204-4028
Phone (563) 355-9200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | julian.hernandezcarvajal@direct.genesishealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL, WA, NV, KS, OH, OK, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S 5TH St
St Marys Regional Medical Center
Enid, OK 73701-5832
Phone (580) 233-6100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5257 | OK | MD | Orthopaedic Surgery Physician |
| 083662 | IA | MD | Physician Assistant |
| PA61456947 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies ER Oklahoma LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Norton Sound Health Corporation | Physician Assistant | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Oklahoma TCS LLC | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Trinity Medical Center | Physician Assistant | Current | Accepting new patients |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| The Metrohealth System | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- jhernandezcarvajal311709@direct.metrohealth.org
- jhernandezcarvajal1216935@direct.unitypoint.org
- julian.hernandezcarvajal@direct.genesishealth.com
- jhernandezcarvajal800651@direct.peacehealth.org
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1043932486
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
Physician Assistant
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Physician Assistant
-
- Emergency Medicine Physician
- Chillicothe, OH
- NPI 1508698739
-
- Emergency Medicine Physician
- Manhattan, KS
- NPI 1831689934
-
- Emergency Medicine Physician
- Sparks, NV
- NPI 1881151231
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1184177412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4028",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612044028",
"telephone_number": "563-355-9200",
"fax_number": "563-355-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E RUSHOLME ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-6610",
"fax_number": "563-421-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ CARVAJAL",
"first_name": "JULIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "083662",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61456947",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA19163",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "julian.hernandezcarvajal@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1227 E Rusholme St",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528032459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.
- 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.