Individual provider Active NPI

Pablo D Hernandez, M.D.

  • Psychosomatic Medicine Physician
  • Columbus, OH
National Provider Identifier
1992921902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
74801 Issued in OH
Practice address
199 S Central Ave
Columbus, OH 43223-1301
Phone
(614) 278-0051
Fax
(614) 279-0811
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 74801 OH Primary

Addresses

Primary practice location

199 S Central Ave
Columbus, OH 43223-1301

Mailing address

1610 Hawthorne Park
Columbus, OH 43203-1764
Phone (614) 258-1095

Other identifiers 1

IdentifierTypeStateIssuer
2131599MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180511002020 OH Practitioner - Psychiatry 0446514756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Netcare CorporationGroup PAC ID 4587698477, 5 clinicians

Practice addresses (Care Compare)

199 S Central Ave
Columbus, OH 43223-1301
Phone (614) 274-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74801OHMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Netcare Corporation CurrentSince Apr 26, 2018 Accepting new patients
Ohio State University Past Accepting new patients
Osu GYN & OB Consultants LLC Past Accepting new patients

Locations

199 S Central Ave
Columbus, OH 43223
Phone (614) 274-9500

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992921902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 HAWTHORNE PARK",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031764",
            "telephone_number": "614-258-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231301",
            "telephone_number": "614-278-0051",
            "fax_number": "614-279-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PABLO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "OH",
            "license": "74801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131599",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.