Active NPI
Agnes Hernandez-Grande, MD
- Pediatrics Physician
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 277302
- Practice address
- 2014 Washington St
Newton, MA 02462-1607 - Phone
- (617) 243-6000
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10039704 | TX | |
| Pediatrics Physician | 208000000X | 277302 | MA | Primary |
Addresses
Primary practice location
2014 Washington St
Newton, MA 02462-1607
Mailing address
55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-4260
Other practice location 1
680 Centre St
Brockton, MA 02302-3308
Phone (150) 894-1526
Other practice location 2
SEMC - Pediatric NICU
735 Cambridge Street
Brighton, MA 02135
Phone (617) 562-7077
Other practice location 3
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
Other practice location 4
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Other practice location 5
one baylor plaza BCM 320
Houston, TX 77030
Phone (832) 824-1170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277302 | MA | MD | Pediatrics Physician |
| 10039704 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Pediatrics | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Boston Medical Center - Brighton Corporation | Past | Accepting new patients | |
| Newton-Wellesley Hospital | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
960 Massachusetts Ave
Ste 2
Boston, MA 02118
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
Interoperability endpoints
- hernandez-grande.agnes.nwh@direct.partners.masshiway.net
- ahernandezgrande29162@tuftsmedicine.direct-ci.com
- ahernandezgrande252481@direct.bmc.masshiway.net
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Pediatrics
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1376830372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621607",
"telephone_number": "617-243-6000"
}
],
"practiceLocations": [
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "150-894-1526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "SEMC - Pediatric NICU",
"address_2": "735 Cambridge Street",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-562-7077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Cambridge St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021352907",
"country_code": "US",
"telephone_number": "617-789-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "one baylor plaza BCM 320",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "832-824-1170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ-GRANDE",
"first_name": "AGNES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2025-03-11",
"certification_date": "2025-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "10039704",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "277302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.