Individual provider Active NPI

Luis Oscar Hernandez III, M.D.

  • Colon & Rectal Surgery Physician
  • Miami, FL
National Provider Identifier
1205078649
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME124589 Issued in FL
Practice address
7765 SW 87TH Avenue
212
Miami, FL 33173
Phone
(305) 596-3080
Fax
(305) 596-3073
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TRN 13872 FL
Colon & Rectal Surgery Physician 208C00000X ME124589 FL Primary

Addresses

Primary practice location

7765 SW 87TH Avenue
212
Miami, FL 33173

Mailing address

9500 S Dadeland Blvd
200
Miami, FL 33156
Phone (305) 468-4185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170811001316 FL Practitioner - Colorectal Surgery (Proctology) 0547561870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

7765 Sw87Th Ave
Suite 212
Miami, FL 33173
Phone (305) 596-3080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN 13872FLMDSurgery Physician
ME124589FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC Colon & Rectal Surgery CurrentSince Aug 28, 2017 Accepting new patients
Gastro Health, LLC CurrentSince Aug 28, 2017 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7765 SW 87th Ave
Ste 212
Miami, FL 33173
Phone (305) 279-7546

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

Interoperability endpoints

  • Direct secure messaging: luis.hernandez@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1205078649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD",
            "address_2": "200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-468-4185",
            "fax_number": "305-596-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 SW 87TH AVENUE",
            "address_2": "212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-596-3080",
            "fax_number": "305-596-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN 13872",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME124589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.