NPIMap

Individual provider Active NPI

Diego Felipe Cabrera Fernandez, M.D.

  • Hematology & Oncology Physician
  • Bowling Green, KY
National Provider Identifier
1144660184
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
52215 Issued in KY
Practice address
350 Park St Ste 206
Bowling Green, KY 42101-1784
Phone
(270) 796-2557
Fax
(270) 796-2559
NPI assigned
Jul 3, 2013
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52215 KY
Hematology & Oncology Physician 207RH0003X 52215 KY Primary

Addresses

Primary practice location

350 Park St Ste 206
Bowling Green, KY 42101-1784

Mailing address

PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 796-2557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190809002649 KY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1759514631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

350 Park St
Suite 106
Bowling Green, KY 42101-1784
Phone (270) 796-2557

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52215KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Commonwealth Health Corporation, Inc. Hematology & Oncology CurrentSince Jul 1, 2019 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 106
Bowling Green, KY 42101
Phone (270) 721-7265

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

350 Park St
Ste 206
Bowling Green, KY 42101
Phone (270) 746-0440

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1144660184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-796-2557",
            "fax_number": "270-796-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK ST STE 206",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-796-2557",
            "fax_number": "270-796-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA FERNANDEZ",
        "first_name": "DIEGO",
        "middle_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "52215",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "52215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.