Active NPI
Ambrosio Hernandez III, M.D.
- Pediatric Surgery Physician
- McAllen, TX
National Provider Identifier
1801845318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- L9980
- Practice address
- 1120 E Ridge Rd
McAllen, TX 78503-5411 - Phone
- (956) 688-1280
- Fax
- (956) 688-1291
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | L9980 | TX | Primary |
Addresses
Primary practice location
1120 E Ridge Rd
McAllen, TX 78503-5411
Mailing address
1120 E Ridge Rd
McAllen, TX 78503-5411
Phone (956) 688-1280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172230802 | Other | TX | CSHCN |
| 172230801 | Medicaid | TX | |
| 8P5610 | Other | TX | BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9980 | TX | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Past | Accepting new patients | |
| Therapy R US Rehabilitation Specialists PLLC | Past | Accepting new patients | |
| Driscoll Childrens Hospital | Past | Accepting new patients | |
| Doctors Hospital at Renaissance, LTD | Past | Accepting new patients | |
| Renaissance Hospitalists | Past | Accepting new patients | |
| Children'S Physician Services of South Texas | Past | Accepting new patients | |
| Palm Valley Pediatric Surgeons PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/
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.
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Surgery Physician
- McAllen, TX
- NPI 1073644167
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1598737124
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Children's Hospital
- Edinburg, TX
- NPI 1124796081
-
- Hospitalist Physician
- Edinburg, TX
- NPI 1386073203
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
-
- Rehabilitation Clinic/Center
- Weslaco, TX
- NPI 1609013689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1801845318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E RIDGE RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785035411",
"telephone_number": "956-688-1280",
"fax_number": "956-688-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E RIDGE RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785035411",
"telephone_number": "956-688-1280",
"fax_number": "956-688-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "AMBROSIO",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "L9980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "172230802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172230801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8P5610",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
- Hernandez Counseling & Associates PLLC
- Hernandez Counseling and Associates
- Miguel A Hernandez Moreno, RESIDENT IN TRAINING
- Alan Hernandez
- Alma Lizbeth Hernandez
- Andrea Hernandez, LPC, LCDC
- Andrea Sanjuanita Hernandez, ATC, LAT, LMT
- Angela Celina Hernandez, M.S., CCCSLP
- Anixa Hernandez, OT
- Anna Christina Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.