DR. TABATA ELIZABETH HERNANDEZ MD
NPI 1417688920
Internal Medicine in Norwalk, CT
About Dr. Tabata Elizabeth Hernandez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TABATA ELIZABETH HERNANDEZ MD (NPI 1417688920) is an individual internal medicine provider in Norwalk, Connecticut, licensed in Connecticut (80802) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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. Tabata Elizabeth 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 Reassignment
Medicare enrollment records show Tabata Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norwalk, CT 06854
- Reassigned Medicare billing, Connecticut enrollment
- 60 clinicians in this Medicare group
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 06854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORWALK, CT 06854
NORWALK, CT 06854
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 Tabata Hernandez's NPI number?
The NPI number for Tabata Hernandez is 1417688920. It was assigned to this individual provider in the NPPES registry on June 23, 2022.
Where is Tabata Hernandez located?
Tabata Hernandez practices at 120 Connecticut Ave, Norwalk, CT 06854. The listed phone number is (203) 851-1000.
What is Tabata Hernandez's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tabata Hernandez enrolled in Medicare?
Yes. Tabata 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 Tabata Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tabata Hernandez reassigns Medicare benefits to Norwalk Community Health Center Inc (Norwalk, CT). 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 Tabata 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 Tabata Hernandez was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Tabata Elizabeth Hernandez, MD · NPI 1417688920
Internal Medicine physician in Norwalk, Connecticut. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1417688920 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 80802 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 CONNECTICUT AVE, Norwalk, CT 06854-1525
- **Phone:** (203) 851-1000
## 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:** Norwalk Community Health Center Inc (NPI 1841226347, Norwalk, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417688920) · Data from the CMS NPPES public registry.