Individual provider Active NPI

Alfred E Fernandez, M.D.

  • Internal Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1194798009
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052574 Issued in VA
Practice address
512 Albemarle Dr
Chesapeake, VA 23322-5506
Phone
(757) 547-4747
Fax
(757) 819-7945
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101052574 VA Primary

Addresses

Primary practice location

512 Albemarle Dr
Chesapeake, VA 23322-5506

Mailing address

512 Albemarle Dr
Chesapeake, VA 23322-5506
Phone (757) 547-4747

Other identifiers 7

IdentifierTypeStateIssuer
010181569MedicaidVA
41055OtherVASENTARA/OPTIMA
541595397OtherVAMID ATLANTIC SOLUTIONS
178856OtherVAANTHEM
541595397OtherVATRICARE
5271236OtherVAAETNA
541595397OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052574VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred Fernandez M.D.P.C. Internal Medicine PastSince Jan 2, 2007 Accepting new patients
Bayview Physician Services, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: afernandez94957@direct.sentara.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1194798009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ALBEMARLE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225506",
            "telephone_number": "757-547-4747",
            "fax_number": "757-819-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ALBEMARLE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225506",
            "telephone_number": "757-547-4747",
            "fax_number": "757-819-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ALFRED",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010181569",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "41055",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID ATLANTIC SOLUTIONS",
            "identifier": "541595397",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "178856",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541595397",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5271236",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "541595397",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.