Individual provider Active NPI

Andrew Jerry Hinojosa, MD

  • Adult Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1336520717
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R6413 Issued in TX
Practice address
5846 Wooldridge Rd
Corpus Christi, TX 78414-2402
Phone
(361) 994-8979
NPI assigned
Jun 11, 2015
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015017145 MO
Adult Medicine Physician 207QA0505X R6413 TX Primary

Addresses

Primary practice location

5846 Wooldridge Rd
Corpus Christi, TX 78414-2402

Mailing address

5846 Wooldridge Rd
Corpus Christi, TX 78414-2402

Other practice location 1

551 E Southampton Dr
Columbia, MO 65201-4236
Phone (573) 884-7733

Other identifiers 1

IdentifierTypeStateIssuer
1336520717MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hinojosaa1@uthscsa.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190927000861 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 5092027631 Practice locations: Corpus Christi, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6413TXMDAdult Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aadi Home Health and HospiceCorpus Christi, TX, CCN 741643 Hospice Contracted Managing Employee (1%) Nov 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1336520717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 WOOLDRIDGE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 WOOLDRIDGE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142402",
            "telephone_number": "361-994-8979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 E Southampton Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652014236",
            "country_code": "US",
            "telephone_number": "573-884-7733",
            "fax_number": "573-882-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINOJOSA",
        "first_name": "ANDREW",
        "middle_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015017145",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "R6413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336520717",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hinojosaa1@uthscsa.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5846 Wooldridge Rd",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784142402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.