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DR. GUSTAVO HERNANDEZ M.D.
NPI 1265963961
Hospitalist in Dallas, TX

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
6201 HARRY HINES BLVD, DALLAS, TX 75390(214) 633-5555 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2020, Mar 23, 2017 (2 updates tracked since 2017).

About Dr. Gustavo Hernandez M.d. NPPES

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

DR. GUSTAVO HERNANDEZ M.D. (NPI 1265963961) is an individual hospitalist provider in Dallas, Texas, licensed in Texas (S5652) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265963961
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. GUSTAVO HERNANDEZCredential: M.D.
Location Address6201 HARRY HINES BLVDDallas, TX 75390-0010
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Phone(214) 633-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2017
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1265963961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · S5652
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
6201 HARRY HINES BLVD, Dallas, TX 75390
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Secondary Practice Locations 2

Location 16201 Harry Hines BlvdDallas, TX 75235-5202 · Phone (214) 633-5555
Location 21800 Orleans St, The Johns Hopkins HospitalBaltimore, MD 21287-0010 · Phone (410) 955-7911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gustavo Hernandez M.d. 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.

PECOS PAC ID2062789845
PECOS Enrollment IDI20241022004598
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gustavo Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
0.2 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
Southern California Permanente Medical Group
1,163 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1225060742 (California)
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
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.

ALVIN A CHANDRA M.D.
Internal Medicine (Cardiovascular Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MR. JONATHAN DEVRIES D.O.
Psychiatry & Neurology (Psychiatry)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0580
ABDULLAH SHOAIB M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3916
DR. SITARAM BARATH MD
Radiology (Vascular & Interventional Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-1717
BRITNEY WEBSTER APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0599
DR. HELEN LYNNE KING M.D.
Internal Medicine (Infectious Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MURTAZA AHMED MD
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-3597
LULU LIU TENORIO MD
Radiology (Diagnostic Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (469) 207-3563

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 Gustavo Hernandez's NPI number?

The NPI number for Gustavo Hernandez is 1265963961. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Gustavo Hernandez located?

Gustavo Hernandez practices at 6201 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 633-5555.

What is Gustavo Hernandez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gustavo Hernandez enrolled in Medicare?

Yes. Gustavo 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.

Which organizations bill Medicare for Gustavo Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Hernandez reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Southern California Permanente Medical Group (Hemet, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustavo Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gustavo Hernandez was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.