Individual provider Active NPI

Jorge L. Hernandez, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ocoee, FL
National Provider Identifier
1538243167
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME0066300 Issued in FL
Practice address
10101 W Colonial Dr Ste 102
Ocoee, FL 34761-4213
Phone
(407) 895-9060
Fax
(407) 895-9010
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0066300 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME0066300 FL Primary

Addresses

Primary practice location

10101 W Colonial Dr Ste 102
Ocoee, FL 34761-4213

Mailing address

10101 W Colonial Dr Ste 102
Ocoee, FL 34761-4213
Phone (407) 895-9060

Other identifiers 2

IdentifierTypeStateIssuer
375560600MedicaidFL
ME0066300OtherFLMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000005 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4981602026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Medicine Associates, P.a.Group PAC ID 2466593777, 3 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

10101 W Colonial Dr
Suite 102
Ocoee, FL 34761-4213
Phone 4078959060101

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0066300FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates, P.a. Pulmonary Disease CurrentSince Sep 6, 2009 Accepting new patients
Pulmonary Medicine Associates Pulmonary Disease CurrentSince Jun 7, 2020 Accepting new patients
Pulmonary Institute, P.a. Pulmonary Disease Past Accepting new patients
Orlando Pulmonary and Critical Care Associates Inc Pulmonary Disease PastSince Apr 1, 1998 Accepting new patients

Locations

201 N Park Ave
Ste 204
Apopka, FL 32703
Phone (407) 395-3770

10101 W Colonial Dr
Ste 102
Ocoee, FL 34761
Phone (407) 895-9060

308 E Hazel St
Orlando, FL 32804
Phone (407) 345-8608

1400 S Orlando Ave
Ste 305
Winter Park, FL 32789
Phone (407) 740-6050

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1538243167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 W COLONIAL DR STE 102",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614213",
            "telephone_number": "407-895-9060",
            "fax_number": "407-895-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W COLONIAL DR STE 102",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614213",
            "telephone_number": "407-895-9060",
            "fax_number": "407-895-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JORGE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0066300",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0066300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375560600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME0066300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.