Active NPI
Cesar J. Hernandez, MD
- Obstetrics Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 20020272
- Practice address
- 1010 Lead Ave SE Ste 4
Albuquerque, NM 87106-5214 - Phone
- (505) 842-5902
- Fax
- (505) 242-6313
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 20020272 | NM | Primary |
Addresses
Primary practice location
1010 Lead Ave SE Ste 4
Albuquerque, NM 87106-5214
Mailing address
1010 Lead Ave SE Ste 4
Albuquerque, NM 87106-5214
Phone (505) 842-5902
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063439800 | Other | NM | NPI GROUP |
| OONM001009 | Other | NM | BCBS |
| 200521050 | Other | NM | MEDICARE GROUP |
| 95822739 | Other | NM | MEDICAID GROUP |
| 12134805 | Medicaid | NM |
Other names 1
- C Javier Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20020272 | NM | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evanston Clinic Corp | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Past | Accepting new patients | |
| Albuquerque Women'S Health, PC | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000
150 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 789-5080
196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Family Medicine Physician
- Evanston, WY
- NPI 1013916519
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Obstetrics & Gynecology Physician
- Albuquerque, NM
- NPI 1063439800
-
- Internal Medicine Physician
- Rock Springs, WY
- NPI 1437312436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1356436539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LEAD AVE SE STE 4",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065214",
"telephone_number": "505-842-5902",
"fax_number": "505-242-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LEAD AVE SE STE 4",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065214",
"telephone_number": "505-842-5902",
"fax_number": "505-242-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CESAR",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NM",
"license": "20020272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1063439800",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OONM001009",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "200521050",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "95822739",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12134805",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C",
"last_name": "HERNANDEZ",
"middle_name": "JAVIER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.