Individual provider Active NPI

Johanna Hernaiz Baez, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1881914349
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S8715 Issued in TX
Practice address
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone
(972) 544-6600
Fax
(972) 544-6604
NPI assigned
Jun 8, 2010
Last updated
May 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101254909 VA
Internal Medicine Physician 207R00000X S8715 TX Primary

Addresses

Primary practice location

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102

Mailing address

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600

Other practice location 1

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 916-6516

Other practice location 2

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521002053 TX Practitioner - Internal Medicine 4284864992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Worth Institute of Medical Sciences LLCGroup PAC ID 4688021306, 17 clinicians

Practice addresses (Care Compare)

1023 Lipscomb St
Suite 201
Fort Worth, TX 76104-3196
Phone (972) 544-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S8715TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siripurapu Associates PLLC Medical Associates of North Texas Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600

2111 Fort Worth Hwy
Weatherford, TX 76086
Phone (817) 596-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1881914349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-6516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNAIZ BAEZ",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254909",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S8715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.