Pedro R Hernandez, M.D. P.A.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E5385 Issued in TX

Practice address

1901 Medi Park
Suite 138
Amarillo, TX 79106-2110

Phone

(806) 355-3364

Fax

(806) 355-0108

NPI assigned

Sep 30, 2005

Last updated

Jun 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Texas Healthcare System IncGroup PAC ID 0941106363, 22 clinicians

Bsa Hospital LLCGroup PAC ID 6305090762, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875
• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
• Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369
• Hansford County Hospital Hospital, Spearman, TX, CCN 451344

Merit-based Incentive Payment System (MIPS)

Final score

57.22 of 100Reported as individual

Quality

43.33

Improvement activities

40

Cost

32.95

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bsa Hospital LLC

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1609112069
  Medicare reassignment Care Compare group NPD
• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • Other Specialist/Technologist
  • Amarillo, TX
  • NPI 1154347987
  Medicare reassignment Care Compare group NPD
• Pedro R. Hernandez M.D. P.a.

  • Specialist
  • Amarillo, TX
  • NPI 1447447735
  Medicare reassignment NPD Authorized official
• Bsa Hospital, LLC

  dba BSA Health System EMS

  • Land Ambulance
  • Canyon, TX
  • NPI 1417456583
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• GPCH, LLC

  dba Lighthouse-Borger

  • Geriatric Psychiatry Physician
  • Borger, TX
  • NPI 1205358694

  Hospital

  Care Compare affiliation
• GPCH, LLC

  dba Golden Plains Community Hospital

  • Critical Access Hospital
  • Borger, TX
  • NPI 1841497153
  Care Compare affiliation
• Hansford County Hospital District

  • Critical Access Hospital
  • Spearman, TX
  • NPI 1992707780
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation
• Physicians Surgical Hospitals, LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1912948845
  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1548257900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK",
            "address_2": "SUITE 138",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK",
            "address_2": "SUITE 138",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3364",
            "fax_number": "806-355-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PEDRO",
        "middle_name": "R",
        "credential": "M.D.  P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E5385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00RJ36",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4209208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7319",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE/SOUTHWEST LIFE",
            "identifier": "115014100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134882305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Jose Hernandez Jr., APRN
• Katie Hernandez, OTR
• Kelsey Mae Hernandez, AGACNP-BC
• Maria Del Rosario Hernandez, LCSW
• Mario Hernandez, PHARM D.
• Sandra Hernandez, NP
• Tammy Hernandez
• Valilah Hernandez, COTA
• Yolanda E Hernandez, RPH
• Heroes Home Health TX LLC

• Cardiovascular Disease Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.

Verify at the official NPI Registry.