NPIMap

Individual provider Active NPI

Rafael O. Hernandez, M.D.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1982667812
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101048832 Issued in VA
Practice address
120 Executive Center Pkwy
Fredericksburg, VA 22401-3100
Phone
(540) 374-5200
Fax
(540) 374-1164
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101048832 VA Primary

Addresses

Primary practice location

120 Executive Center Pkwy
Fredericksburg, VA 22401-3100

Mailing address

120 Executive Center Pkwy
Fredericksburg, VA 22401-3100
Phone (540) 374-5097

Other identifiers 1

IdentifierTypeStateIssuer
5611865MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050726001028 VA Practitioner - Family Practice 1355396771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 Executive Ctr Pkwy
Fredericksburg, VA 22401-3100
Phone (540) 374-5200

Hospital & facility affiliations

  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Care With Love, LLC Home health agency, Fairfax, VA, CCN 497762
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101048832VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Nov 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900

10502 Rhoads Dr
Fredericksburg, VA 22407
Phone (540) 710-9100

120 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 374-5097

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

422 Garrisonville Rd
Ste 102
Stafford, VA 22554
Phone (540) 657-4800

Interoperability endpoints

  • Direct secure messaging: rhernandez36846@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 4

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 12

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1982667812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE CENTER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013100",
            "telephone_number": "540-374-5097",
            "fax_number": "540-374-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE CENTER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013100",
            "telephone_number": "540-374-5200",
            "fax_number": "540-374-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAFAEL",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101048832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5611865",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.