Individual provider Active NPI

Kristina Jeanne Hernandez, D.O.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1801057112
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P2868 Issued in TX
Practice address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone
(469) 518-4823
Fax
(469) 518-4827
NPI assigned
Jun 19, 2008
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P2868 TX Primary

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 1

IdentifierTypeStateIssuer
3058265-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khernandez262346@direct.sw.org

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
I20120928000190 TX Practitioner - Internal Medicine 3072791771 Reassigns benefits to 2 organizations

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)

4453 Heritage Glen Dr
Fort Worth, TX 76244-3083
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2868TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 4, 2015 Accepting new patients
Questcare Matrix, PLLC Internal Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince May 4, 2015 Accepting new patients
Questcare Matrix, PLLC Internal Medicine CurrentSince Nov 7, 2017 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Questcare Matrix PLLC Internal Medicine Past Accepting new patients
Questcare Matrix, PLLC Internal Medicine Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

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

3500 Gaston Ave
#4
Dallas, TX 75246
Phone (214) 820-1000

3600 Gaston Ave
Ste 558
Dallas, TX 75246

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

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

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

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 338-3440

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

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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

700 E State Highway 114
Southlake, TX 76092
Phone (682) 305-0657

Interoperability endpoints

  • Direct secure messaging: khernandez262346@direct.sw.org

Organizations & group practices 7

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.

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1801057112",
    "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",
            "fax_number": "469-518-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KRISTINA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "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": "P2868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058265-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khernandez262346@direct.sw.org",
            "affiliation": "N",
            "address_1": "1650 W College St Ste 150",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760513565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.