Roberto C Fernandez Blay, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME93447 Issued in FL

Practice address

9999 Sheridan St Ste 120
Hollywood, FL 33024-3086

Phone

(954) 890-2524

Fax

(954) 890-2523

NPI assigned

Sep 14, 2005

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCGGCD/Endpoint/CCGGCD

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.

• Priority Health MD Inc

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1891447694
  Medicare reassignment NPD Authorized official
• Fernandez Blay MD PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1306898242
  NPD (past) Authorized official
• Wound Care Management Specialists LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1568701472
  NPD
• National Balance & Hearing Centers Inc

  • Audiologist
  • North Miami Beach, FL
  • NPI 1285878785
  NPD (past)
• Rafael Health Services Inc

  dba National Balance Improvement Centers

  • Multi-Specialty Clinic/Center
  • N Miami Beach, FL
  • NPI 1922058692
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1205821352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 SHERIDAN ST STE 120",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243086",
            "telephone_number": "954-983-9191",
            "fax_number": "954-449-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 SHERIDAN ST STE 120",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243086",
            "telephone_number": "954-890-2524",
            "fax_number": "954-890-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ BLAY",
        "first_name": "ROBERTO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274947500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny C Ferguson, LPN
• Shavanda Ferguson, LCSW
• Isnaldris E Fermin Cabrera
• Yormaylin A Fernandez Arape
• Yoneidy Fernandez Avila, RBT
• Ivy Maureen Fernandez Fulchan, APRN
• Adriana Fernandez Hernandez
• Lisandra Fernandez Hernandez
• Yusaidy O Fernandez Napoles
• Fernandez Torres Association, LLC

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.

Verify at the official NPI Registry.