Active NPI
Carlos E Hernandez, M.D.
- Obstetrics & Gynecology Physician
- Eagle Pass, TX
National Provider Identifier
1417907999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K2490
- 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
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 & 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113784604 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| K2490 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamillo Family Practice PLLC | Current | Accepting new patients | |
| Carlos Hernandez, M.D., P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Angelica Martinez Family Practice PLLC | Past | 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
- https://api.platform.athenahealth.com/18827/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/18637/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/18627/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BFJHDD/Endpoint/BFJHDD
- 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.
-
- Obstetrics & Gynecology Physician
- Eagle Pass, TX
- NPI 1932126596
-
- Primary Care Clinic/Center
- Eagle Pass, TX
- NPI 1447704713
-
- Family Nurse Practitioner
- Eagle Pass, TX
- NPI 1912400631
-
- General Acute Care Hospital
- Eagle Pass, TX
- NPI 1770579591
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
- 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.