Active NPI
Jesus A Hernandez, M.D.
- Gastroenterology Physician
- El Paso, TX
National Provider Identifier
1568462398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- J1264
- Practice address
- 125 W Hague Rd
Suite 590
El Paso, TX 79902-5814 - Phone
- (915) 532-1620
- Fax
- (915) 544-3852
- NPI assigned
- Jul 22, 2005
- Last updated
- Jun 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | J1264 | TX | Primary |
Addresses
Primary practice location
125 W Hague Rd
Suite 590
El Paso, TX 79902-5814
Mailing address
125 W Hague Rd
Suite 590
El Paso, TX 79902-5814
Phone (915) 532-1620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100009355 | Other | RR MEDICARE | |
| 125614101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Gastroenterology | Current | Accepting new patients |
| BHS Physicians Network, Inc | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
Gastroenterology
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- NPI 1457913444
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dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1568462398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W HAGUE RD",
"address_2": "SUITE 590",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025814",
"telephone_number": "915-532-1620",
"fax_number": "915-544-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W HAGUE RD",
"address_2": "SUITE 590",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025814",
"telephone_number": "915-532-1620",
"fax_number": "915-544-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JESUS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "J1264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "100009355",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125614101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.