Active NPI
Jonathan M Hernandez, M.D.
- Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D85426
- Practice address
- 2 Columbia Dr
J402
Tampa, FL 33606-3508 - Phone
- (813) 844-7412
- NPI assigned
- Oct 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN8889 | FL | |
| Surgery Physician | 208600000X | D85426 | MD | Primary |
Addresses
Primary practice location
2 Columbia Dr
J402
Tampa, FL 33606-3508
Mailing address
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Gastroenterology
- Education
- University of Florida College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Stoner Ave
Suite 102
Westminster, MD 21157-5662
Phone (410) 848-1818
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.16 of 100
- Quality
- 75.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D85426 | MD | MD | Surgery Physician |
| TRN8889 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Health Group, LLC | Surgery | Current | Accepting new patients |
| Carroll Health Group, LLC | Surgery | Past | Accepting new patients |
Locations
193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
295 Stoner Ave
Ste 102
Westminster, MD 21157
Phone (410) 848-1818
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.
-
- Surgery Physician
- Westminster, MD
- NPI 1194512319
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1487843405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEMORIAL AVE",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575726",
"telephone_number": "410-848-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "J402",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JONATHAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN8889",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D85426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.