ADAM BREAUX HERNANDEZ MD
NPI 1356467351
Internal Medicine - Pulmonary Disease in Falls Church, VA
About Adam Breaux Hernandez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM BREAUX HERNANDEZ MD (NPI 1356467351) is an individual pulmonary disease provider in Falls Church, Virginia, licensed in Virginia (0101258658) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Js Weill Medical College, Cornell University (2004).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Adam Breaux 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.
Medicare Billing Reassignments
3Medicare enrollment records show Adam Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1588717755 (Virginia)
- 2,618 clinicians in this Medicare group
Vienna, VA 22182
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 2 clinicians in this Medicare group
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 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.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FALLS CHURCH, VA 22042
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 Adam Hernandez's NPI number?
The NPI number for Adam Hernandez is 1356467351. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is Adam Hernandez located?
Adam Hernandez practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.
What is Adam Hernandez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Adam Hernandez enrolled in Medicare?
Yes. Adam 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 Adam Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Hernandez reassigns Medicare benefits to 3 organizations: Inova Health Care Services (Falls Church, VA), Sleep Disorders Ctrs Of The Mid Atlantic LLC (Vienna, VA) and Bioserenity Usa Inc. (Baltimore, MD). 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 Adam Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Hernandez accept?
Health plans from Oscar Health list Adam 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.
When was this NPI record last updated?
The NPPES record for Adam Hernandez was last updated on June 4, 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.
# Adam Breaux Hernandez, MD · NPI 1356467351
Pulmonary Disease physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1356467351 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 0101258658 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3300 GALLOWS RD, Falls Church, VA 22042-3300
- **Phone:** (703) 776-4001 · **Fax:** (703) 776-7113
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Inova Health Care Services (NPI 1952320061, Falls Church, VA); Sleep Disorders Ctrs Of The Mid Atlantic LLC (NPI 1689767683, Vienna, VA); Bioserenity Usa Inc. (NPI 1457992604, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Js Weill Medical College, Cornell University, class of 2004
## Record status
- **NPPES last updated:** June 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356467351) · Data from the CMS NPPES public registry.