Individual provider Active NPI

Robert A Fernandez, MD

  • Plastic Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1114927258
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
H8925 Issued in TX
Practice address
613 Elizabeth St Suite 601
Corpus Christi, TX 78404
Phone
(361) 888-7082
Fax
(361) 888-7084
NPI assigned
Jul 29, 2005
Reactivated
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H8925 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X H8925 TX
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X H8925 TX Primary

Addresses

Primary practice location

613 Elizabeth St Suite 601
Corpus Christi, TX 78404

Mailing address

613 Elizabeth St Suite 601
Corpus Christi, TX 78404
Phone (361) 888-7082

Other identifiers 1

IdentifierTypeStateIssuer
116146504MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040414000074 TX Practitioner - Plastic and Reconstructive Surgery 5395739197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical School at San Antonio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

613 Elizabeth St
Suite 601
Corpus Christi, TX 78404-2295
Phone (361) 888-7082

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8925TXMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Fernandez, MD PA Specialist CurrentSince Jan 2, 2003 Accepting new patients
Vijay K Bindingnavele MD PA Multi-Specialty PastSince Jan 2, 2003 Accepting new patients

Locations

613 Elizabeth St
Ste 601
Corpus Christi, TX 78404
Phone (361) 888-7082

Interoperability endpoints

  • Direct secure messaging: rfernandez249335@christushealth.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1114927258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST SUITE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-888-7082",
            "fax_number": "361-888-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST SUITE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-888-7082",
            "fax_number": "361-888-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-09-26",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8925",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "H8925",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H8925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116146504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.