KATHY SUSAN HERNANDEZ (M.D.) – Family Medicine Physician, NPI 1164427654

KATHY SUSAN HERNANDEZ (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 32458 (WI). The NPI Number for KATHY SUSAN HERNANDEZ (M.D.) is 1164427654

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
KATHY SUSAN HERNANDEZ (M.D.)
NPI
1164427654
Phone
(414) 672-1353
Address
1032 S CESAR E CHAVEZ DR
Enumeration Date
20 June 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
4146721353
Graduation Year
1988 (38 years ago)
PAC ID
9638364284
Group Practice PAC ID
6709876857
Professional Enrollment ID
I20101109001328
Address ID
WI532042203MI1032XDRXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,047 FAMILY PRACTICE in WI

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Provider Addresses for KATHY SUSAN HERNANDEZ (M.D.)

  • Chavez Clinic, 1032, South Cesar E Chavez Drive, Clarke Square, Milwaukee, Milwaukee County, Wisconsin, 53204, United States

    MILWAUKEE, WI 532042203

    Phone: (414) 672-1353

    Fax: (414) 672-4265

    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)

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: 2010-11-09

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
I20101109001328IFamily PracticeWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument3114$0
83036Hemoglobin a1c level2114$0
View full utilization report →

Insurance plans in this area (ZIP 53204)

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Provider's Procedures

KATHY SUSAN HERNANDEZ (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI83036Hemoglobin A1C level5735

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: 6709876857View full group profile

Reviews

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Frequently asked questions

Is KATHY SUSAN HERNANDEZ (M.D.) listed with a National Provider Identifier?
Yes — KATHY SUSAN HERNANDEZ (M.D.) has NPI 1164427654 on file in the registry.
Active or inactive — what applies to KATHY SUSAN HERNANDEZ (M.D.)?
You should see KATHY SUSAN HERNANDEZ (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe KATHY SUSAN HERNANDEZ (M.D.)'s focus?
For KATHY SUSAN HERNANDEZ (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHY SUSAN HERNANDEZ (M.D.)?
Travel planning: use Milwaukee, Wisconsin as the reference point for KATHY SUSAN HERNANDEZ (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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