Active NPI
Emilio Fentanes, M.D.
- Cardiovascular Disease Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD17066
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 539-8414
- NPI assigned
- Jun 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD17066 | HI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 315357 | NY |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
PO Box 932163
Cleveland, OH 44193-0008
Phone (610) 477-6147
Other practice location 1
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 916-9335
Other practice location 2
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NY, FL, MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000
17065 S Outer Rd
Belton Regional Medical Center
Belton, MO 64012-2165
Phone (816) 348-1200
19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000
2000 SE Blue Pkwy
Suite 250
Lees Summit, MO 64063-1029
Phone (913) 906-0833
2100 SE Blue Pkwy
Lees Summit Medical Center
Lees Summit, MO 64063-1007
Phone (816) 282-5000
2316 E Meyer Blvd
Research Medical Center
Kansas City, MO 64132-1136
Phone (913) 253-3000
2800 E Rock Haven Rd
Cass Regional Medical Center
Harrisonville, MO 64701-4411
Phone (816) 380-3474
2820 E Rock Haven Rd
Harrisonville, MO 64701-4414
285 Sills Rd
East Patchogue, NY 11772-4808
Phone (631) 751-3000
365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000
7300 Lees Summit Rd
Kansas City, MO 64136-1248
Phone (859) 301-2160
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17066 | HI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| University of Utah Adult Services | Diagnostic Radiology | Current | Accepting new patients |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Northern Kentucky, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Midwest Heart & Vascular Specialists, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | General Practice | Current | Accepting new patients |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients | |
| Lester S Duplechan MD PLLC | Past | Accepting new patients |
Locations (25 of 44)
1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
12200 W 106th St
Ste 315
Overland Park, KS 66215
Phone (913) 348-4202
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
7200 Alexandria Pike
Alexandria, KY 41001
Phone (859) 344-5652
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
375 Thomas More Pkwy
Ste 209
Crestview Hills, KY 41017
Phone (859) 341-4842
651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660
500 Thomas More Pkwy
Ste 2
Crestview Hls, KY 41017
Phone (859) 341-4842
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600
560 S Loop Rd
Ste 100
Edgewood, KY 41017
413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800
600 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-6382
4123 Olympic Blvd
Ste 150
Erlanger, KY 41018
Phone (859) 301-2999
10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
7830 Connector Dr
Florence, KY 41042
Phone (859) 525-2994
8460 US Highway 42
Florence, KY 41042
Phone (859) 282-0911
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
2200 Conner Rd
Hebron, KY 41048
Phone (859) 344-5652
2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- emilio.fentanes@hca2.eclinicaldirectplus.com
Organizations & group practices 13
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.
-
- Cardiovascular Disease Physician
- Overland Park, KS
- NPI 1760736615
MO
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Diagnostic Radiology Physician
- Edgewood, KY
- NPI 1073595179
MO
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1003406711
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1790701787
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1376136911
-
- Vascular & Interventional Radiology Physician
- Salt Lake City, UT
- NPI 1457755258
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Physical Medicine & Rehabilitation Physician
- Crestview Hills, KY
- NPI 1801113071
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Harrisonville, MO
- NPI 1477535326
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1255378337
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1093009276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932163",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930008",
"telephone_number": "610-477-6147",
"fax_number": "302-440-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-539-8414"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-916-9335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 MEDICAL VILLAGE DR",
"address_purpose": "LOCATION",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"country_code": "US",
"telephone_number": "859-301-2160",
"fax_number": "859-341-4845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENTANES",
"first_name": "EMILIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-05",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD17066",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "315357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.