Individual provider Active NPI

Jorge A Hernandez, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
National Provider Identifier
1356338347
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K5116 Issued in TX
Practice address
755 N 11TH St
Suite P2200
Beaumont, TX 77702-1500
Phone
(409) 892-1192
Fax
(409) 924-9012
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K5116 TX Primary

Addresses

Primary practice location

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1500

Mailing address

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1500
Phone (409) 892-1192

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
I20070716000546 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345218749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Specialists LLPGroup PAC ID 9032179791, 12 clinicians
Cardiac Cath Lab of Beaumont, LPGroup PAC ID 2466630421, 4 clinicians

Practice addresses (Care Compare)

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1513
Phone (409) 892-1192

755 N 11TH St
Suite P3970A
Beaumont, TX 77702-1593
Phone (409) 924-3996

Hospital & facility affiliations

  • Home Care Elite LLC Home health agency, Nederland, TX, CCN 677964
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting77
Pacemaker insertion or repair13
Leg revascularization (restoring blood flow)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5116TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Southeast Texas CurrentSince Feb 1, 2010 Accepting new patients
Advanced Cardiovascular Specialists, LLP Cardiovascular Disease CurrentSince Jul 1, 2007 Accepting new patients
Christus Health Southeast Texas CurrentSince Feb 1, 2010 Accepting new patients
Christus Health Southeast Texas Cardiovascular Disease Current Accepting new patients
Cardiac Cath Lab of Beaumont, LP CurrentSince Mar 1, 2011 Accepting new patients
Neches Clinic PLLC CurrentSince Oct 4, 2021 Accepting new patients
Cardiac Imaging Inc CurrentSince Mar 15, 2016 Accepting new patients
Beaumont ASC, LP PastSince Aug 28, 2022 Accepting new patients
Sparks Medical Foundation Past Accepting new patients

Locations

755 N 11th St
Ste P3970B
Beaumont, TX 77702
Phone (409) 924-3996

755 N 11th St
Ste P3970A
Beaumont, TX 77702
Phone (409) 924-3996

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

755 N 11th St
Ste P2200
Beaumont, TX 77702
Phone (409) 892-1192

2014 S Wheeler St
Ste 200
Jasper, TX 75951
Phone (409) 383-1780

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Interoperability endpoints

  • Direct secure messaging: jorge.hernandez.p4@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: jhernandez@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/22304/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 5

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1356338347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-1192",
            "fax_number": "409-924-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-1192",
            "fax_number": "409-924-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.