NPIMap

Individual provider Active NPI

Timothy A Hernandez, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1851495584
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0489 Issued in TX
Practice address
1139 E Sonterra Blvd
Suite 405
San Antonio, TX 78258-4347
Phone
(210) 404-0000
Fax
(210) 404-2812
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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 K0489 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd
Suite 405
San Antonio, TX 78258-4347

Mailing address

1139 E Sonterra Blvd Ste 405
San Antonio, TX 78258-4352
Phone (210) 404-0000

Other identifiers 4

IdentifierTypeStateIssuer
P01164916OtherRAILROAD MEDICARE
038712803MedicaidTX
8DL471OtherTXBCBSTX
K0489OtherTXLICENSE 8K5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040106000529 TX Practitioner - Internal Medicine 3476452772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Pasteur Medical Associates PAGroup PAC ID 2769487701, 7 clinicians

Practice addresses (Care Compare)

4410 Medical Dr
Suite 100
San Antonio, TX 78229-3737
Phone (210) 614-4000

Hospital & facility affiliations

  • Methodist Healthcare at Home Home health agency, San Antonio, TX, CCN 679424
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as individual
Quality
97.15
Improvement activities
40
Cost
63.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0489TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasteur Medical Associates PA Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Physician Primecare, Inc Internal Medicine Past Accepting new patients
Tejas Internal Medicine Specialist Assoc Internal Medicine PastSince Jun 19, 2003 Accepting new patients

Locations

4410 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 614-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHHBA

Organizations & group practices 3

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.

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1851495584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584352",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD",
            "address_2": "SUITE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01164916",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038712803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8DL471",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE 8K5160",
            "identifier": "K0489",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.