Individual provider Active NPI

Martha F. Hernandez, M.D.

  • Psychiatry Physician
  • Gary, IN
National Provider Identifier
1528284452
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01034776 Issued in IN
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100475200DMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091006000687 IN Practitioner - PsychiatryPractitioner - Neurology 5799821666 Reassigns benefits to 1 organization
I20240711002138 IL Practitioner - PsychiatryPractitioner - Neurology 5799821666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Rush Medical College of Rush University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tpa Network IncorporatedGroup PAC ID 9133565997, 10 clinicians

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

LicenseStateTypeSpecialty
01034776INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven LLC CurrentSince Jul 1, 2024 Accepting new patients
Tpa Network Incorporated CurrentSince Apr 28, 2024 Accepting new patients
Tpa Network Incorporated CurrentSince Apr 28, 2024 Accepting new patients
Now Counseling Services, LLC CurrentSince Jul 1, 2024 Accepting new patients
Paul L. Hannah, M.D. , M.S. LTD Psychiatry PastSince Jul 24, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.