Individual provider Active NPI

Thomas Mitchell Hernandez, MD

  • Anesthesiology Physician
  • Jupiter, FL
National Provider Identifier
1811986920
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD425852 Issued in PA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5613097113OtherFLCELL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000707 FL Practitioner - Anesthesiology 5991730509 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
MD425852PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2008 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 CurrentSince Dec 3, 2009 Accepting new patients
Jupiter Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.