JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1013768654

JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) is a healthcare provider. based in Berwyn, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. The NPI Number for JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) is 1013768654

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT)
NPI
1013768654
Phone
(773) 229-1414
Address
1401 S HARLEM AVE
Enumeration Date
1 April 2024
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309202350
Graduation Year
2024 (2 years ago)
PAC ID
9739686890
Group Practice PAC ID
6002814878
Professional Enrollment ID
I20251007001723
Address ID
IL605596137WE1010XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT)

  • 1401 S HARLEM AVE

    BERWYN, IL 604021259

    Phone: (773) 229-1414

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: SERVIER PHARMACEUTICALS LLC ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-07

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
I20251007001723IPhysician AssistantILTBD

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 60402)

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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: 6002814878View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Sports Medicine, Orthopedic SurgeryIL
Physician AssistantIL
-IL
Physical Therapist In Private PracticeIL
Orthopedic SurgeryIL
Physician AssistantIL
Orthopedic SurgeryIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

What unique ID ties claims to JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT)?
NPI 1013768654 is assigned to JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) under the national enumeration system.
Is JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) currently active in the NPI registry?
CMS-published data lists JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) as an active registrant.
Can you summarize JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT)'s specialty in plain language?
Clinically, the directory lists JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) practice in Illinois?
You will see Berwyn, Illinois on file for JORGE ALEJANDRO HERNANDEZ (PHYSICIAN ASSISTANT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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