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DR. RAUL G HERNANDEZ M.D.
NPI 1386725877
Anesthesiology in Rio Grande City, TX

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
83.06/100
CMS Quality Rating
2573 HOSPITAL COURT, RIO GRANDE CITY, TX 78582(956) 487-5561(956) 487-4680 Get Directions Write a Review

NPPES record last updated: April 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raul G Hernandez M.d. NPPES

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

DR. RAUL G HERNANDEZ M.D. (NPI 1386725877) is an individual anesthesiology provider in Rio Grande City, Texas, licensed in Texas (M3256) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2002).

NPPES Registry Identity

NPI1386725877
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. RAUL G HERNANDEZCredential: M.D.
Location Address2573 HOSPITAL COURTRio Grande City, TX 78582
Mailing AddressPo Box 78Rio Grande City, TX 78582-0078 · (956) 487-5561 · Fax (956) 487-4680
Phone(956) 487-5561
Fax(956) 487-4680
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2002
Enumeration DateOctober 18, 2006
Last NPPES UpdateApril 13, 2009
✔ NPI 1386725877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · M3256
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License M3256 (TX)
2573 HOSPITAL COURT, Rio Grande City, TX 78582
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Other Identifiers 4

Medicaid189278801TX
Medicare UPINI72780TX
Other8W8200TX · Bcbs
Medicare PIN8L9246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Raul G 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 ID3274635222
PECOS Enrollment IDI20070222000582
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

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

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.

83.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.07
Improvement Activities40

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 Raul Hernandez's NPI number?

The NPI number for Raul Hernandez is 1386725877. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Raul Hernandez located?

Raul Hernandez practices at 2573 Hospital Court, Rio Grande City, TX 78582. The listed phone number is (956) 487-5561.

What is Raul Hernandez's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Raul Hernandez enrolled in Medicare?

Yes. Raul 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 Raul Hernandez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Raul 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 Raul Hernandez affiliated with any hospitals?

According to CMS data, Raul Hernandez is affiliated with Starr County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Raul Hernandez was last updated on April 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.