DR. ERICK HERNANDEZ MD
NPI 1609803261
Pediatrics - Pediatric Gastroenterology in Miami, FL

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101(305) 243-4029(305) 243-8470 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erick Hernandez Md NPPES

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

DR. ERICK HERNANDEZ MD (NPI 1609803261) is an individual pediatric gastroenterology provider in Miami, Florida, licensed in Florida (ME87426) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1609803261
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. ERICK HERNANDEZCredential: MD
Location Address1601 NW 12TH AVE, BOX 016960 M851Miami, FL 33101-6960
Mailing Address1601 Nw 12th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 243-4029 · Fax (305) 243-8470
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 28, 2016
NPI 1609803261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in FL · ME87426
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1601 NW 12TH AVE, Miami, FL 33101

Other Identifiers 3

Medicaid2669170-00FL
Medicare UPINI00700FL
Medicare ID-Type Unspecified37298FL

Accepted 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. Erick 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 ID4587656095
PECOS Enrollment IDI20040402000128
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33101 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Pediatrics (Pediatric Endocrinology)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Nurse Practitioner
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Psychologist (Clinical Child & Adolescent)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Pediatrics (Pediatric Nephrology)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101

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 Erick Hernandez's NPI number?

The NPI number for Erick Hernandez is 1609803261. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Erick Hernandez located?

Erick Hernandez practices at 1601 NW 12th Ave Box 016960 M851, Miami, FL 33101. The listed phone number is (305) 243-4029.

What is Erick Hernandez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Erick Hernandez enrolled in Medicare?

Yes. Erick 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 Erick Hernandez accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 2 other insurers list Erick 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 Erick Hernandez was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.