Active NPI
Alfred Joe Hernandez Jr., M.D.
- Gastroenterology Physician
- Houston, TX
National Provider Identifier
1841377041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D5037
- Practice address
- 12206 Clearfork Dr
Houston, TX 77077-2513 - Phone
- (281) 497-8755
- Fax
- (281) 487-8755
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D5037 | TX | Primary |
Addresses
Primary practice location
12206 Clearfork Dr
Houston, TX 77077-2513
Mailing address
12206 Clearfork Dr
Houston, TX 77077-2513
Phone (281) 497-8755
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10035414 | Other | TX | AMERIVANTAGE |
| 031864401 | Medicaid | TX | |
| 103900009 | Other | TX | PALMETTO GBA RR MEDICARE |
| 2900312 | Other | TX | EVERCARE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5037 | TX | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1841377041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12206 CLEARFORK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770772513",
"telephone_number": "281-497-8755",
"fax_number": "281-497-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12206 CLEARFORK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770772513",
"telephone_number": "281-497-8755",
"fax_number": "281-487-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ALFRED",
"middle_name": "JOE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "D5037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIVANTAGE",
"identifier": "10035414",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031864401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR MEDICARE",
"identifier": "103900009",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE CHOICE",
"identifier": "2900312",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.