Individual provider Active NPI

Carlos E Hernandez, M.D.

  • Obstetrics & Gynecology Physician
  • Eagle Pass, TX
National Provider Identifier
1417907999
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K2490 Issued in TX
Practice address
1975 N Veterans Blvd Ste 6
Eagle Pass, TX 78852-4456
Phone
(830) 758-1633
Fax
(830) 773-6989
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K2490 TX Primary

Addresses

Primary practice location

1975 N Veterans Blvd Ste 6
Eagle Pass, TX 78852-4456

Mailing address

1975 N Veterans Blvd Ste 6
Eagle Pass, TX 78852-4456
Phone (830) 758-1633

Other identifiers 1

IdentifierTypeStateIssuer
113784604MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlos.hernandez.1@18827.direct.athenahealth.com Direct

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
I20061024000094 TX Practitioner - Obstetrics/Gynecology 3173520756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1975 N Veterans Blvd
Suite 6
Eagle Pass, TX 78852-4456
Phone (830) 758-1633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2490TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamillo Family Practice PLLC Current Accepting new patients
Carlos Hernandez, M.D., P.a. Obstetrics & Gynecology CurrentSince Aug 2, 2006 Accepting new patients
Angelica Martinez Family Practice PLLC PastSince Feb 9, 2018 Accepting new patients
Fort Duncan Medical Center LP Past Accepting new patients

Locations

1975 N Veterans Blvd
Ste 6
Eagle Pass, TX 78852
Phone (830) 758-1633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18827/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18637/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18627/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFJHDD/Endpoint/BFJHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHDD

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1417907999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 6",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-758-1633",
            "fax_number": "830-773-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 6",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-758-1633",
            "fax_number": "830-773-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113784604",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.hernandez.1@18827.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1975 N Veterans Blvd",
            "city": "Eagle Pass",
            "state": "TX",
            "country_code": "US",
            "postal_code": "788524456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.