Individual provider Active NPI

Fernando Chedebeau, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1013115534
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105499 Issued in FL
Practice address
1600 W Flagler St
Miami, FL 33135-2120
Phone
(305) 204-0333
Fax
(305) 359-7546
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME105499 FL Primary

Addresses

Primary practice location

1600 W Flagler St
Miami, FL 33135-2120

Mailing address

4353 NW 77TH Ave FL 3
Miami, FL 33166-6736
Phone (305) 204-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000512 FL Practitioner - Internal Medicine 6406024520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Univida Medical Center LLCGroup PAC ID 7214316868, 22 clinicians

Practice addresses (Care Compare)

1600 W Flagler St
Miami, FL 33135-2120
Phone (305) 204-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Health MD of Kendall LLC CurrentSince Mar 1, 2025 Accepting new patients
Univida Medical Center LLC CurrentSince Jun 19, 2025 Accepting new patients

Locations

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

14221 SW 120th St
Ste 132
Miami, FL 33186
Phone (786) 344-1460

1600 W Flagler St
Miami, FL 33135

4353 NW 77th Ave
Fl 3
Miami, FL 33166
Phone (302) 204-0333

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL HMO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1013115534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 NW 77TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666736",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352120",
            "telephone_number": "305-204-0333",
            "fax_number": "305-359-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEDEBEAU",
        "first_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.