Active NPI
James Hermenegildo, MD
- Surgery Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MA158476
- Practice address
- 1030 President Ave
Suite 3002
Fall River, MA 02720-5923 - Phone
- (508) 676-3411
- Fax
- (508) 676-0932
- NPI assigned
- Jun 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA158476 | MA | Primary |
Addresses
Primary practice location
1030 President Ave
Suite 3002
Fall River, MA 02720-5923
Mailing address
1030 President Ave
Suite 3002
Fall River, MA 02720-5923
Phone (508) 676-3411
Other practice location 1
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409760 | Other | BLUE CHIP | |
| 793771 | Other | TUFTS | |
| J19396 | Other | MA | BLUE CROSS BLUE SHIELD |
| JH45499 | Medicaid | RI | |
| 3185591 | Medicaid | MA | |
| AA49773 | Other | MA | HARVARD PILGRIM HC |
| 7590960 | Other | CIGNA | |
| 000000031922 | Other | MA | BMC |
| 0026789 | Other | NHP | |
| 003457 | Other | MA | SWH |
| 1152759 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Geisel School of Medicine at Dartmouth, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
851 Middle St
Fall River, MA 02721-1778
Phone (508) 996-3991
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA158476 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group of Massachusetts Inc | Surgery | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Revere Medical of Massachusetts, PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward St. Annes Hospital Corporation | Past | Accepting new patients | |
| Lifespan of Massachusetts - Fall River Inc | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
1030 President Ave
Ste 3002
Fall River, MA 02720
Phone (508) 676-3411
300 Hanover St
Fall River, MA 02720
Phone (508) 677-0700
1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427
851 Middle St
Ste 3200
Fall River, MA 02721
Phone (508) 235-5277
300 Hanover St
Ste 1A
Fall River, MA 02720
Phone (508) 677-0700
1030 President Ave
#126
Fall River, MA 02720
Phone (508) 676-3411
851 Middle St
Fall River, MA 02721
Phone (508) 324-6800
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
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
- Taunton, MA
- NPI 1235957713
Surgery
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1932411493
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1184651176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"address_2": "SUITE 3002",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205923",
"telephone_number": "508-676-3411",
"fax_number": "508-676-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE",
"address_2": "SUITE 3002",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205923",
"telephone_number": "508-676-3411",
"fax_number": "508-676-0932"
}
],
"practiceLocations": [
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMENEGILDO",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "MA158476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "409760",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "793771",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J19396",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JH45499",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3185591",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HC",
"identifier": "AA49773",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7590960",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000031922",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0026789",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SWH",
"identifier": "003457",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1152759",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.