Individual provider Active NPI

Miguel Adrian Hernandez, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1689835993
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3636 Issued in TX
Practice address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone
(469) 518-4823
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P3636 TX Primary
Hospitalist Physician 208M00000X P3636 TX

Addresses

Primary practice location

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (469) 518-4823

Other identifiers 2

IdentifierTypeStateIssuer
3059776-01MedicaidTX
305977602MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000174 TX Practitioner - Internal Medicine 4789862491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Questcare Matrix PLLCGroup PAC ID 7719137397, 40 clinicians

Practice addresses (Care Compare)

601 Howe Rd
Roanoke, TX 76262-2119
Phone (954) 939-5000

Hospital & facility affiliations

  • Valor Hospice Hospice, Fort Worth, TX, CCN 741787
  • Victoria Gardens of Allen Nursing home, Allen, TX, CCN 675882
  • Victoria Gardens of Frisco Nursing home, Frisco, TX, CCN 675811
  • Sandy Lake Rehabilitation and Care Center Nursing home, Coppell, TX, CCN 676247
  • Heritage Gardens Rehabilitation and Healthcare Nursing home, Carrollton, TX, CCN 675111
  • Discovery Village at Southlake Nursing home, Southlake, TX, CCN 676351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3636TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Matrix, PLLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Questcare Matrix, PLLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Frio Hospital District Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

550 E Ann Arbor Ave
Dallas, TX 75216
Phone (214) 376-1701

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

10700 Rolater Rd
Frisco, TX 75035
Phone (972) 712-8652

850 12th Ave
Ft Worth, TX 76104
Phone (817) 882-8289

7499 Stanwick Dr
Houston, TX 77087
Phone (713) 644-8048

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

601 Howe Rd
Roanoke, TX 76262
Phone (682) 257-8932

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage Gardens Rehabilitation and HealthcareCarrollton, TX, CCN 675111 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Jul 1, 2023
Jul 1, 2023
Jul 1, 2023
Lake Village Nursing and Rehabilitation CenterLewisville, TX, CCN 675560 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Sep 1, 2023
Sep 1, 2023
Sep 1, 2023
Sandy Lake Rehabilitation and Care CenterCoppell, TX, CCN 676247 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 30, 2026
Jan 30, 2026
Richardson Nursing and RehabilitationRichardson, TX, CCN 675109 Skilled nursing facility Adp of the SNF Feb 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 6

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1689835993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "469-518-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "469-518-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MIGUEL",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3636",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P3636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3059776-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305977602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.