Active NPI
Heberto Z Hernandez, MD
- Internal Medicine Physician
- Highland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036107210
- Practice address
- 1780 Green Bay Rd Ste 202
Highland Park, IL 60035-3276 - Phone
- (847) 433-5864
- NPI assigned
- Mar 1, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036107210 | IL | Primary |
Addresses
Primary practice location
1780 Green Bay Rd Ste 202
Highland Park, IL 60035-3276
Mailing address
1954 1St St Ste 335
Highland Park, IL 60035-3104
Phone (847) 433-5864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041229000134 | IL | Practitioner - Internal Medicine | 0840258588 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore Medical LTDOsf Multi-Specialty Group
Practice addresses (Care Compare)
1780 Green Bay Rd
Highland Park, IL 60035-3276
5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929
718 Glenview Ave
Highland Park, IL 60035-2432
Phone (847) 433-1060
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Admire Home Healthcare Agency, Inc
- Northshore University Healthsystem - Evanston Hospital
- Osf Little Company of Mary Medical Center
- Saint Anthony Medical Center
- Warren Barr North Shore
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| North Shore Medical, LTD | Internal Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
1780 Green Bay Rd
Ste 202
Highland Park, IL 60035
Phone (847) 433-5864
1954 1st St
Ste 335
Highland Park, IL 60035
767 Park Ave W
Ste 110
Highland Park, IL 60035
Phone (847) 433-1013
800 N Westmoreland Rd
Ste 201
Lake Forest, IL 60045
Phone (847) 388-0603
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Warren Barr North Shore LLC | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2014 Jul 1, 2014 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Highland Park, IL
- NPI 1548688864
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Highland Park, IL
- NPI 1972674059
IL, Internal Medicine
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
IL, Internal Medicine
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
IL, Internal Medicine
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Skokie, IL
- NPI 1518972256
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1366419194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 1ST ST STE 335",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353104",
"telephone_number": "847-433-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 GREEN BAY RD STE 202",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353276",
"telephone_number": "847-433-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "HEBERTO",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036107210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.