TOMAS HERNANDEZ JR. MD
NPI 1669162186
Emergency Medicine in Houston, TX

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
6411 FANNIN ST, HOUSTON, TX 77030(713) 704-4000 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2025, May 9, 2023 (2 updates tracked since 2023).

About Tomas Hernandez Jr. Md NPPES

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

TOMAS HERNANDEZ JR. MD (NPI 1669162186) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (V8278) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Medical School At Houston (2019).

NPPES Registry Identity

NPI1669162186
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTOMAS HERNANDEZ JR.Credential: MD
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address9330 Main St Apt 103Houston, TX 77025-4559 · (956) 292-9591
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2019
Enumeration DateMay 9, 2023
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1669162186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · V8278
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6411 FANNIN ST, Houston, TX 77030

Accepted 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

Tomas Hernandez Jr. 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 ID4284146705
PECOS Enrollment IDI20250620002996
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

3

Medicare enrollment records show Tomas Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
Emergency Medicine
4103 NORTH LOOK 1604 W
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030

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 Tomas Hernandez's NPI number?

The NPI number for Tomas Hernandez is 1669162186. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Tomas Hernandez located?

Tomas Hernandez practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is Tomas Hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tomas Hernandez enrolled in Medicare?

Yes. Tomas 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 organizations bill Medicare for Tomas Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tomas Hernandez reassigns Medicare benefits to 3 organizations: Travis County Emergency Physicians PA (Austin, TX), Third Coast Emergency Physicians Southwest PA (San Antonio, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). Each 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 Tomas Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tomas Hernandez accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Tomas 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 Tomas Hernandez affiliated with any hospitals?

According to CMS data, Tomas Hernandez is affiliated with Baptist Medical Center and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Tomas Hernandez was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.