DR. RICHARD E HERNANDEZ
NPI 1235104167
Internal Medicine - Gastroenterology in Miami, FL
About Dr. Richard E Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD E HERNANDEZ (NPI 1235104167) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME0043730) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Richard E Hernandez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Miami Hospital
Acute Care Hospitals · South Miami, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MIAMI, FL 33173
MIAMI, FL 33173
MIAMI, FL 33173
MIAMI, FL 33173
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 Richard Hernandez's NPI number?
The NPI number for Richard Hernandez is 1235104167. It was assigned to this individual provider in the NPPES registry on February 22, 2006.
Where is Richard Hernandez located?
Richard Hernandez practices at 7765 SW 87th Ave Suite 105, Miami, FL 33173. The listed phone number is (305) 274-0808.
What is Richard Hernandez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Richard Hernandez enrolled in Medicare?
Yes. Richard Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Richard Hernandez accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Richard Hernandez 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 Richard Hernandez affiliated with any hospitals?
According to CMS data, Richard Hernandez is affiliated with South Miami Hospital.
When was this NPI record last updated?
The NPPES record for Richard Hernandez was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
