Active NPI
Thomas Mitchell Hernandez, MD
- Anesthesiology Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD425852
- Practice address
- 2055 Military TRL
Suite 100
Jupiter, FL 33458-7801 - Phone
- (561) 741-1705
- Fax
- (561) 741-7947
- NPI assigned
- Oct 20, 2005
- Last updated
- Jun 29, 2016
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD425852 | PA | Primary |
Addresses
Primary practice location
2055 Military TRL
Suite 100
Jupiter, FL 33458-7801
Mailing address
2055 Military TRL
Suite 100
Jupiter, FL 33458-7801
Phone (561) 741-1705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5613097113 | Other | FL | CELL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425852 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Jupiter Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Bethesda Anesthesia Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| Bethesda Anesthesia Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| Jupiter Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| TPS II of PA, LLC | Anesthesiology | Past | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste 520
Boynton Beach, FL 33437
Phone (561) 374-5550
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
2055 Military Trl
Ste 100
Jupiter, FL 33458
Phone (561) 263-4487
Interoperability endpoints
- thernandez20029@jupitermedicalcenter.direct-ci.com
Organizations & group practices 6
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.
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- Anesthesiology Physician
- Jupiter, FL
- NPI 1700073848
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- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1801054473
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1811560329
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1003581398
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1912266586
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- Anesthesiology Physician
- Phila, PA
- NPI 1114975869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1811986920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 MILITARY TRL",
"address_2": "SUITE 100",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587801",
"telephone_number": "561-741-1705",
"fax_number": "561-741-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 MILITARY TRL",
"address_2": "SUITE 100",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587801",
"telephone_number": "561-741-1705",
"fax_number": "561-741-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "THOMAS",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD425852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CELL",
"identifier": "5613097113",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.