Active NPI
Maximiliano E Hernandez, M.D.
- Internal Medicine Physician
- Pharr, TX
National Provider Identifier
1477525384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K1471
- Practice address
- 502 S Cage Blvd
Pharr, TX 78577 - Phone
- (956) 702-1013
- Fax
- (956) 781-5579
- NPI assigned
- Feb 3, 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 | K1471 | TX | Primary |
Addresses
Primary practice location
502 S Cage Blvd
Pharr, TX 78577
Mailing address
PO Box 644
Pharr, TX 78577-1612
Phone (956) 702-1013
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB100690 | Other | TX | MEDICARE |
| 110217993 | Other | TX | RAILROAD MEDICARE |
| 8CQ990 | Other | TX | BCBS |
| P00848543 | Other | TX | RAILROAD MEDICARE |
| 029437302 | Medicaid | TX | |
| 029437301 | Medicaid | TX | |
| 0003AM | Other | TX | BLUE CROSS BLUE SHIELD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000611 | TX | Practitioner - Internal Medicine | 8729983952 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
502 S Cage Blvd
Pharr, TX 78577-5449
Phone (956) 702-1013
Hospital & facility affiliations
- Palm Valley Health Care II Inc
- Doctors Hosptal at Renaissance
- Rio Grande Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1471 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manuel J Mercado MD PA | Internal Medicine | Current | Accepting new patients |
| Maximiliano Hernandez MD PA | Internal Medicine | Current | Accepting new patients |
Locations
502 S Cage Blvd
Pharr, TX 78577
Phone (956) 702-1013
Organizations & group practices 2
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
- Pharr, TX
- NPI 1861464026
Internal Medicine, TX
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McAllen, TX
- NPI 1619924719
Hospital
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
Hospital
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
- Home Health Agency
- Edinburg, TX
- NPI 1366433468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1477525384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 644",
"city": "PHARR",
"state": "TX",
"postal_code": "785771612",
"telephone_number": "956-702-1013",
"fax_number": "956-781-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S CAGE BLVD",
"city": "PHARR",
"state": "TX",
"postal_code": "78577",
"telephone_number": "956-702-1013",
"fax_number": "956-781-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MAXIMILIANO",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K1471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB100690",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110217993",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CQ990",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00848543",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029437302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029437301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0003AM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.