Individual provider Active NPI

Celso A Hernandez, M.D.

  • Maternal & Fetal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1932100559
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
L5365 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-3030
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 4271191 ID
Maternal & Fetal Medicine Physician 207VM0101X L5365 TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

333 N 1st St Ste 150
Boise, ID 83702-6135
Phone (208) 381-3088

Other practice location 2

2424 N Wyatt Dr Ste 260
Tucson, AZ 85712-6118
Phone (520) 392-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, ID, SD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060113000616 TX Practitioner - Obstetrics/Gynecology 6901829183 Reassigns benefits to 2 organizations
I20130924000924 AZ Practitioner - Obstetrics/Gynecology 6901829183 Reassigns benefits to 1 organization
I20260224004554 ID Practitioner - Obstetrics/Gynecology 6901829183 Reassigns benefits to 1 organization
I20260604000800 SD Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 6901829183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

1441 N 12TH St
FL 2
Phoenix, AZ 85006-2837
Phone (844) 242-4664

333 N 1St St
Suite 150
Boise, ID 83702-6135
Phone (208) 381-7360

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4271191IDMDMaternal & Fetal Medicine Physician
L5365TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Feb 10, 2026 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 16, 2023 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Aug 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2023 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 16, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Feb 10, 2026 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2023 Accepting new patients
Obstetrix Medical Group of Phoenix PC Maternal & Fetal Medicine Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

4200 E Camelback Rd
Ste 202
Phoenix, AZ 85018
Phone (602) 229-2150

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

333 N 1st St
Ste 150
Boise, ID 83702
Phone (208) 381-3088

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1932100559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N 1st St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026135",
            "country_code": "US",
            "telephone_number": "208-381-3088",
            "fax_number": "208-381-4314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 N Wyatt Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126118",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CELSO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ID",
            "license": "4271191",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "L5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.