Active NPI
Martha F. Hernandez, M.D.
- Psychiatry Physician
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01034776
- Practice address
- 3787 Grant St
Gary, IN 46408-2142 - Phone
- (219) 981-4800
- Fax
- (219) 981-4805
- NPI assigned
- Apr 18, 2007
- Last updated
- Feb 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01034776 | IN | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 01034776 | IN |
Addresses
Primary practice location
3787 Grant St
Gary, IN 46408-2142
Mailing address
3787 Grant St
Gary, IN 46408-2142
Phone (219) 981-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100475200D | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rush Medical College of Rush University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5537 N Broadway St
Chicago, IL 60640-1405
Phone (773) 989-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034776 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Haven LLC | Current | Accepting new patients | |
| Tpa Network Incorporated | Current | Accepting new patients | |
| Tpa Network Incorporated | Current | Accepting new patients | |
| Now Counseling Services, LLC | Current | Accepting new patients | |
| Paul L. Hannah, M.D. , M.S. LTD | Psychiatry | Past | Accepting new patients |
Locations
5537 N Broadway St
Chicago, IL 60640
Phone (773) 989-9400
124 E Powell Ave
Evansville, IN 47713
Phone (812) 499-7950
2225 W Indiana St
Evansville, IN 47712
Phone (812) 602-4022
Interoperability endpoints
- mhernandez654377@direct.ochin.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Chicago, IL
- NPI 1174896914
-
- Community/Behavioral Health Agency
- Evansville, IN
- NPI 1962958363
-
dba Genesis Health & Wellness Center
- Community/Behavioral Health Agency
- Evansville, IN
- NPI 1164925772
-
- Family Medicine Physician
- Chicago, IL
- NPI 1912752569
-
- Psychiatry Physician
- Gary, IN
- NPI 1629593272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1528284452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 GRANT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464082142",
"telephone_number": "219-981-4800",
"fax_number": "219-981-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 GRANT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464082142",
"telephone_number": "219-981-4800",
"fax_number": "219-981-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARTHA",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01034776",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IN",
"license": "01034776",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100475200D",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.