Organization Active NPI

M Hernandez MD PLLC

  • Psychiatry Physician
  • Corpus Christi, TX
National Provider Identifier
1194984856
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L6426 Issued in TX
Legal business name
M HERNANDEZ MD PLLC
Practice address
5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765
Phone
(361) 906-0166
Fax
(361) 994-7550
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Dr. Michael Anthony Hernandez, MDNPI 1851380885
Title
Owner/Psychiatrist
Phone
(361) 906-0166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X L6426 TX Primary

Addresses

Primary practice location

5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765

Mailing address

5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765
Phone (361) 906-0166

Other identifiers 1

IdentifierTypeStateIssuer
214694601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000485 TX Part B Supplier - Clinic/Group Practice 2961533468 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

4444 Corona Dr
Ste 106
Corpus Christi, TX 78411
Phone (361) 815-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1194984856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784179765",
            "telephone_number": "361-906-0166",
            "fax_number": "361-994-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784179765",
            "telephone_number": "361-906-0166",
            "fax_number": "361-994-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HERNANDEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "361-906-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L6426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214694601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.