NPIMap

Individual provider Active NPI

Lorena Hernandez-Tellez, M.D., PHD

  • Internal Medicine Physician
  • Hickory, NC
National Provider Identifier
1396010658
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00118 Issued in NC
Practice address
1771 Tate Blvd SE Ste 103
Hickory, NC 28602-4250
Phone
(828) 322-1128
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262557 MA
Internal Medicine Physician 207R00000X 273200 NY
Internal Medicine Physician 207R00000X 00118 NC Primary

Addresses

Primary practice location

1771 Tate Blvd SE Ste 103
Hickory, NC 28602-4250

Mailing address

1771 Tate Blvd SE Ste 103
Hickory, NC 28602-4250
Phone (828) 322-1128

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (347) 886-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170830002818 NY Practitioner - Internal Medicine 9931417151 Reassigns benefits to 1 organization
I20200518003170 NC Practitioner - Internal Medicine 9931417151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1771 Tate Blvd SE
Suite 103
Hickory, NC 28602-4250
Phone (828) 322-1128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273200NYMDLicensed Practical Nurse
00118NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jun 8, 2020 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jun 23, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 23, 2017 Accepting new patients

Locations

1771 Tate Blvd SE
Ste 103
Hickory, NC 28602
Phone (828) 322-1128

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

111 E 210th St
Bronx, NY 10467

Organizations & group practices 3

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 9

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1396010658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 103",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "828-322-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 103",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "828-322-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "347-886-3746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-TELLEZ",
        "first_name": "LORENA",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "262557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "273200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "00118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.