JAMES HERMENEGILDO MD
NPI 1184651176
Surgery in Fall River, MA

Q: What is James Hermenegildo's NPI number?

The NPI number for James Hermenegildo is 1184651176. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is James Hermenegildo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 27, 2006PECOS Enrolled

1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 02720(508) 676-3411(508) 676-0932 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About James Hermenegildo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES HERMENEGILDO MD (NPI 1184651176) is an individual surgery provider in Fall River, Massachusetts, licensed in Massachusetts (MA158476) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1996).

NPPES Registry Identity

NPI1184651176

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES HERMENEGILDOCredential: MD

Location Address1030 PRESIDENT AVE, SUITE 3002Fall River, MA 02720-5923

Mailing Address1030 President Ave, Suite 3002Fall River, MA 02720-5923 · (508) 676-3411 · Fax (508) 676-0932

Phone(508) 676-3411

Fax(508) 676-0932

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1996

Enumeration DateJune 27, 2006

Last NPPES UpdateMay 11, 2026

NPPES CertifiedMay 11, 2026

✔ NPI 1184651176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MA · MA158476

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1030 PRESIDENT AVE, Fall River, MA 02720

Open in Google Maps ↗

Other Identifiers 11

Other409760Blue Chip

Other793771Tufts

OtherJ19396MA · Blue Cross Blue Shield

MedicaidJH45499RI

Medicaid3185591MA

OtherAA49773MA · Harvard Pilgrim Hc

Other7590960Cigna

Other000000031922MA · Bmc

Other0026789Nhp

Other003457MA · Swh

Other1152759Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Hermenegildo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214959105

PECOS Enrollment IDI20051220000352

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

262 services89 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

145 services129 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services44 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

32 services30 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services23 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

14 services14 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

13 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number220020

Location795 Middle StreetFall River, MA 02721 · Bristol County

Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLIE E STERN M.D.

Neurological Surgery

1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720

Bristol County (508) 235-6395

KELBY MAHER D.O.

Pediatrics

1030 PRESIDENT AVE
FALL RIVER, MA 02720

Bristol County (508) 679-6833

TERENCE J MCGOVERN MD

Internal Medicine (Critical Care Medicine)

1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Bristol County (508) 973-1780

REGINA SINGLETON N.P.

Nurse Practitioner (Adult Health)

1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720

Bristol County (508) 235-6222

MARGARET TANG LEE MD

Obstetrics & Gynecology

1030 PRESIDENT AVE
FALL RIVER, MA 02720

Bristol County (508) 676-3411

LAUREL A GAY P.A.

Physician Assistant

1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720

Bristol County (508) 676-3411

DR. NICK MUCCIARDI MD

Internal Medicine (Pulmonary Disease)

1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Bristol County (508) 973-1780

DR. HENRY R VAILLANCOURT MD

Family Medicine

1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720

Bristol County (508) 676-3411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Hermenegildo's NPI number?

The NPI number for James Hermenegildo is 1184651176. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is James Hermenegildo located?

James Hermenegildo practices at 1030 President Ave Suite 3002, Fall River, MA 02720. The listed phone number is (508) 676-3411.

What is James Hermenegildo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Hermenegildo enrolled in Medicare?

Yes. James Hermenegildo is registered in the Medicare PECOS enrollment system.

What insurance does James Hermenegildo accept?

Health plans from Anthem Blue Cross and Blue Shield list James Hermenegildo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Hermenegildo affiliated with any hospitals?

According to CMS data, James Hermenegildo is affiliated with Saint Anne's Hospital and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for James Hermenegildo was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.