DR. MARIO HERNANDEZ DMD
NPI 1891470134
Dentist - General Practice in Melrose Park, IL

Active since June 15, 2023PECOS Enrolled
2537 W NORTH AVE, MELROSE PARK, IL 60160(708) 345-6400 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, Jun 15, 2023 (2 updates tracked since 2023).

About Dr. Mario Hernandez Dmd NPPES

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

DR. MARIO HERNANDEZ DMD (NPI 1891470134) is an individual general practice provider in Melrose Park, Illinois, licensed in Illinois (019.034582) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891470134
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARIO HERNANDEZCredential: DMD
Location Address2537 W NORTH AVEMelrose Park, IL 60160-1121
Mailing Address828 Lavergne AveWilmette, IL 60091-2073 · (224) 392-1770
Sole ProprietorNo
Enumeration DateJune 15, 2023
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
NPI 1891470134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.034582
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2537 W NORTH AVE, Melrose Park, IL 60160

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 (PECOS)

Dr. Mario Hernandez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60160 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.

Dentist (General Practice)
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist (General Practice)
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist (General Practice)
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist (General Practice)
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist (General Practice)
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist (General Practice)
2537 W NORTH AVE
MELROSE PARK, IL 60160
Dentist
2537 W NORTH AVE
MELROSE PARK, IL 60160

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 Mario Hernandez's NPI number?

The NPI number for Mario Hernandez is 1891470134. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Mario Hernandez located?

Mario Hernandez practices at 2537 W North Ave, Melrose Park, IL 60160. The listed phone number is (708) 345-6400.

What is Mario Hernandez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mario Hernandez enrolled in Medicare?

Yes. Mario Hernandez is registered in the Medicare PECOS enrollment system.

What insurance does Mario Hernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Alabama and 11 other insurers list Mario 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 Mario Hernandez was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.