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

Q: 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.

Q: What is Erick Hernandez's specialty?

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

Q: 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 10 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.

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: October 25, 2026.

On this page

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

Phone(305) 243-4029

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

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Other Identifiers 3

Medicaid2669170-00FL

Medicare UPINI00700FL

Medicare ID-Type Unspecified37298FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Erick Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Biohealth Infusion Center LLC

9.6 mi

Infusion Therapy

8684 SW 72ND ST
Miami, FL 33143

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1245950468 (786) 368-7539

Pediatric Gastroenterology Associates PLLC

10 mi

Pediatric Gastroenterology

8955 SW 87TH CT STE 206
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1295766558 (786) 888-2480

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 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.

DR. WALTER F LAMBERT MD

Pediatrics