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DR. CLAUDIA HERNANDEZ MD
NPI 1417018136
Dermatology in Chicago, IL

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
1801 W TAYLOR ST, SUITE 3E, CHICAGO, IL 60612(312) 996-8666(312) 996-1188 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Claudia Hernandez Md NPPES

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

DR. CLAUDIA HERNANDEZ MD (NPI 1417018136) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036100343) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1417018136
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. CLAUDIA HERNANDEZCredential: MD
Location Address1801 W TAYLOR ST, SUITE 3EChicago, IL 60612-4319
Mailing Address808 S Wood St, 3rd Floor, College Medicine East, Mc 624Chicago, IL 60612-7300
Phone(312) 996-8666
Fax(312) 996-1188
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 13, 2006
Last NPPES UpdateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1417018136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036100343
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 036100343 (IL)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 036100343 (IL)
1801 W TAYLOR ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Claudia 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 ID5890782296
PECOS Enrollment IDI20040428000371
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 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.

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.
28 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

MATTHEW BRENNER-JEDWABNIK PA-C
Physician Assistant
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (847) 207-6228
DR. EDUARDO FERNANDES MD, PHD
Surgery
1801 W TAYLOR ST, OCC-3F
CHICAGO, IL 60612
Cook County (312) 355-1493
DR. MELANI LIGHTER MD
Surgery
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 355-4300
JAMES STEVEN FEINBERG MD
Dermatology (Procedural Dermatology)
1801 W TAYLOR ST, 3E
CHICAGO, IL 60612
Cook County (312) 996-1193
MRS. KIMBERLY YORMARK MS, AGACNP
Nurse Practitioner (Acute Care)
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
DR. ANDERS MELLGREN MD
Colon & Rectal Surgery
1801 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
MILENA J. LYON M.D.
Dermatology
1801 W TAYLOR ST, SUITE 3E
CHICAGO, IL 60612
Cook County (312) 996-8666
MR. DANIEL ROBERT BAMRICK-FERNANDEZ MD, MBA
Dermatology
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-0106

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 Claudia Hernandez's NPI number?

The NPI number for Claudia Hernandez is 1417018136. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Claudia Hernandez located?

Claudia Hernandez practices at 1801 W Taylor St Suite 3E, Chicago, IL 60612. The listed phone number is (312) 996-8666.

What is Claudia Hernandez's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Claudia Hernandez enrolled in Medicare?

Yes. Claudia 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 Claudia Hernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Claudia 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 Claudia Hernandez affiliated with any hospitals?

According to CMS data, Claudia Hernandez is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Claudia Hernandez was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.