NPIMap

Individual provider Active NPI

Anthony David Hernandez, MD

  • Family Medicine Physician
  • Atlantis, FL
National Provider Identifier
1780208538
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME157748 Issued in FL
Practice address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone
(877) 832-2652
Fax
(800) 792-9021
NPI assigned
Jun 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN31036 FL
Family Medicine Physician 207Q00000X ME157748 FL Primary

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462-1149

Mailing address

22171 Clocktower Way
Boca Raton, FL 33428-4640

Other practice location 1

39200 Hooker Hwy
Belle Glade, FL 33430-5368
Phone (561) 996-6571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001342 FL Practitioner - Family Practice 8628435070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 882-2878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN31036FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. CurrentSince Jul 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
HHA Associates LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Interoperability endpoints

  • Direct secure messaging: lmcaherna@yourcarecommunity.org

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 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": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1780208538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22171 CLOCKTOWER WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39200 Hooker Hwy",
            "address_purpose": "LOCATION",
            "city": "Belle Glade",
            "state": "FL",
            "postal_code": "334305368",
            "country_code": "US",
            "telephone_number": "561-996-6571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN31036",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME157748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.