James Reza Farroknejad Fernandez, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD.35137 Issued in AL

Practice address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Phone

(952) 595-1301

Fax

(612) 294-4903

NPI assigned

Nov 30, 2012

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX, AL, FL4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of Dothan PCGroup PAC ID 2163465147, 21 clinicians

Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians

Crown Valley Radiologists Inc a Professional Medical CorpGroup PAC ID 3476441965, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
• Flowers Hospital Hospital, Dothan, AL, CCN 010055
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Medical Center Barbour Hospital, Eufaula, AL, CCN 011307
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as group

Quality

95

Improvement activities

40

Cost

72.5

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/2b8e6646-4db4-4d16-9c09-9c478929c392

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

• Crown Valley Radiologists Inc a Professional Medical Corp

  • Radiology Clinic/Center
  • Mission Viejo, CA
  • NPI 1720042062

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Dothan PC

  • Diagnostic Radiology Physician
  • Dothan, AL
  • NPI 1083697718
  Medicare reassignment Care Compare group NPD
• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment NPD
• Coastal Imaging Associates, PLLC

  • Diagnostic Radiology Physician
  • Beaumont, TX
  • NPI 1952833717
  Medicare reassignment NPD
• Franklin County Board of County Commissioners

  dba George E Weems Memorial Hospital

  • Critical Access Hospital
  • Apalachicola, FL
  • NPI 1790736767
  Medicare reassignment NPD
• Maverick County Rural Radiologists P a

  • Diagnostic Radiology Physician
  • Eagle Pass, TX
  • NPI 1437117181

  AL

  Medicare reassignment NPD
• Merit Radiology PLLC

  • Diagnostic Radiology Physician
  • Carrollton, TX
  • NPI 1326819145
  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  AL

  Medicare reassignment NPD
• Radiology and Nuclear Medicine LLC

  • Diagnostic Radiology Physician
  • Topeka, KS
  • NPI 1699733162

  AL

  Medicare reassignment NPD
• Santa Rosa HB Medical Services LLC

  • Diagnostic Radiology Physician
  • Crestview, FL
  • NPI 1730969502

  CA

  Medicare reassignment NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Vesta Telemedicine Solutions, PC

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1710571153

  AL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation
• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba MCB Family Clinic

  • Rural Health Clinic/Center
  • Louisville, AL
  • NPI 1134632045

  Hospital

  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba Hurtsboro Family Clinic

  • Family Medicine Physician
  • Hurtsboro, AL
  • NPI 1154972883

  Hospital

  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba Medical Center Barbour

  • Critical Access Hospital
  • Eufaula, AL
  • NPI 1730692641
  Care Compare affiliation
• Triad of Alabama LLC

  dba Flowers Hospital

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  Care Compare affiliation

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1083959142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JAMES",
        "middle_name": "REZA FARROKNEJAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q2764",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.35137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Fedor, ATC
• Tate Feese
• Courteney Felten
• Fernanda Matsuda, LLC
• Cesar Colyn Fernandez
• Derek James Fette
• Darren Nelson Fick, PHARMD
• Robert Vincent Filippone Jr., D.O.
• Finley Therapy Services LLC
• Thomas Francos Finnegan IV, D.C.

• Diagnostic Radiology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.