DR. JAMES H. HERTZOG (MD) – Pediatric Critical Care Medicine Physician, NPI 1366534240

DR. JAMES H. HERTZOG (MD) is a healthcare provider. based in Wilmington, Delaware. specializing in Pediatric Critical Care Medicine Physician. They hold the professional credentials MD. They hold a License No. MD045577E (PA). The NPI Number for DR. JAMES H. HERTZOG (MD) is 1366534240

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES H. HERTZOG (MD)
NPI
1366534240
Phone
(302) 651-4000
Address
A.I. DUPONT HOSPITAL FOR CHILDREN
Enumeration Date
29 September 2006
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026514200
Graduation Year
1986 (40 years ago)
PAC ID
3274711353
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20110620000179
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JAMES H. HERTZOG (MD)

  • A.I. DUPONT HOSPITAL FOR CHILDREN

    1600 ROCKLAND ROAD

    WILMINGTON, DE 198033607

    Phone: (302) 651-4000

    Fax: (302) 651-4945

    Type: Location

  • 191, Mill Street, Rockport, Knox County, Maine, 04856, United States

    PROVIDER ENROLLMENT DEPT

    ROCKLAND, DE 197320191

    Phone: (302) 651-6212

    Fax: (302) 651-4945

    Type: Mailing

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211201003221IPediatric MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537072483View full group profile
NameSpecialtyState
-AR
Infectious Disease, Pediatric MedicineDE
Diagnostic RadiologyDE
Emergency Medicine, Pediatric MedicineDE
Pediatric MedicineDE
A N E S T H E S I O L O G YPA
Pediatric MedicinePA
A N E S T H E S I O L O G YGA
-DE
Critical Care (Intensivists)DE

Reviews

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Frequently asked questions

How is DR. JAMES H. HERTZOG (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JAMES H. HERTZOG (MD) with NPI 1366534240.
Does the file indicate DR. JAMES H. HERTZOG (MD) is practicing under active NPI?
Directory data currently reports DR. JAMES H. HERTZOG (MD) as active.
What healthcare role does DR. JAMES H. HERTZOG (MD) hold?
Scheduling teams often label DR. JAMES H. HERTZOG (MD) under Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAMES H. HERTZOG (MD)?
DR. JAMES H. HERTZOG (MD)'s geographic hint is Wilmington, Delaware in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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