DR. HERNAN MEDINA MD
NPI 1982684924
Specialist in Phoenix, AZ

Q: What is Hernan Medina's NPI number?

The NPI number for Hernan Medina is 1982684924. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Hernan Medina's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Hernan Medina was last updated on December 19, 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.

Active since January 17, 2006PECOS Enrolled

6838 N 23RD AVE, PHOENIX, AZ 85015(602) 864-8800(602) 864-1448 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Hernan Medina Md NPPES

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

DR. HERNAN MEDINA MD (NPI 1982684924) is an individual specialist in Phoenix, Arizona, licensed in Arizona (30853) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982684924

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. HERNAN MEDINACredential: MD

Location Address6838 N 23RD AVEPhoenix, AZ 85015

Mailing Address9590 E Ironwood Square Dr, Ste 125Scottsdale, AZ 85258-4583 · (480) 455-3000 · Fax (866) 819-6115

Phone(602) 864-8800

Fax(602) 864-1448

Sole ProprietorNo

Enumeration DateJanuary 17, 2006

Last NPPES UpdateDecember 19, 2016

✔ NPI 1982684924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 30853

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal MedicineTaxonomy 207R00000X · License 30853 (AZ)

6838 N 23RD AVE, Phoenix, AZ 85015

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Other Identifiers 3

Medicare UPINH78947AZ

Medicare ID-Type UnspecifiedZ79530AZ

Medicare ID-Type Unspecified754045AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hernan Medina Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Hernan Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

4C Medical Group Plc

14 mi

Multi-Specialty

9590 E IRONWOOD SQUARE DR STE 125
Scottsdale, AZ 85258

Reassigned Medicare billing, Arizona enrollment
118 clinicians in this Medicare group

NPI 1558654384 (480) 455-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERIATRIC SPECIALTIES OF ARIZONA PC

Internal Medicine