Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pablo I Hernandez Itriago, MD

Individual provider Family Medicine Physician · NPI 1457362931

Pablo I Hernandez Itriago, MD is a Family Practice in Worcester, Massachusetts. Qualified in 1996, 30 years ago. Practices with Edward M Kennedy Community Health Center Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
30
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Tacoma St
Worcester, MA 01605-3516
Phone: (508) 852-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 219852 (MA)

Record details

NPI number1457362931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Edward M Kennedy Community Health Center Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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