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DANNY HERNANDEZ MD
NPI 1316920390
Family Medicine in Allentown, PA

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
1707 HAMILTON ST # 1709, ALLENTOWN, PA 18104(610) 419-3388(215) 419-3266 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danny Hernandez Md NPPES

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

DANNY HERNANDEZ MD (NPI 1316920390) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD419601) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1316920390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANNY HERNANDEZCredential: MD
Location Address1707 HAMILTON ST # 1709Allentown, PA 18104-5627
Mailing Address1707 Hamilton StAllentown, PA 18104-5627 · (610) 419-3388 · Fax (610) 419-3266
Phone(610) 419-3388
Fax(215) 419-3266
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 23, 2005
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMay 10, 2021
✔ NPI 1316920390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD419601
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1707 HAMILTON ST # 1709, Allentown, PA 18104
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Other Identifiers 1

Medicaid0018991640001PA

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

Danny Hernandez Md 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 ID9739155961
PECOS Enrollment IDI20040908001274
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 Reassignment

Medicare enrollment records show Danny Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dwh Medical Center, P.C
Same address
Primary Care
1707-1709 W HAMILTON STREET
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Dwh Medical Center, PC
NPI 1922373687 (610) 419-3388

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

Areas of Expertise CMS Part B claims 3

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
133 services17 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.
113 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Danny Hernandez's NPI number?

The NPI number for Danny Hernandez is 1316920390. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Danny Hernandez located?

Danny Hernandez practices at 1707 Hamilton St # 1709, Allentown, PA 18104. The listed phone number is (610) 419-3388.

What is Danny Hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Danny Hernandez enrolled in Medicare?

Yes. Danny 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 organization bills Medicare for Danny Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danny Hernandez reassigns Medicare benefits to Dwh Medical Center, P.C (Allentown, PA). The 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 Danny 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 Danny Hernandez was last updated on May 10, 2021. 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.