Active NPI
David L. Fernandes, MD
- Hematology & Oncology Physician
- Bronx, NY
National Provider Identifier
1154340826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 242266
- Practice address
- 60 E 208TH St
Bronx, NY 10467 - Phone
- (718) 405-1700
- Fax
- (718) 405-7231
- NPI assigned
- Jul 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 242266 | NY | |
| Internal Medicine Physician | 207R00000X | A878947 | CA | |
| Hematology & Oncology Physician | 207RH0003X | 242266 | NY | Primary |
Addresses
Primary practice location
60 E 208TH St
Bronx, NY 10467
Mailing address
60 E 208TH St
Bronx, NY 10467-2702
Phone (718) 405-1700
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02896495 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- New York Medical College, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A878947 | CA | MD | Internal Medicine Physician |
| 242266 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Usc Internal Medicine, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300
111 E 210th St
Bronx, NY 10467
60 E 208th St
Bronx, NY 10467
Phone (718) 405-1700
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1356390009
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1477640258
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1932419306
Hospital
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1578873949
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1154340826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 E 208TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672702",
"telephone_number": "718-405-1700",
"fax_number": "718-405-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E 208TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-405-1700",
"fax_number": "718-405-7231"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-1700",
"fax_number": "718-405-7231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDES",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "242266",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A878947",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "242266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02896495",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.