Individual provider Active NPI

Richard L Fernandez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1235110057
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0053192 Issued in FL
Practice address
9210 SW 72ND St
Ste 100
Miami, FL 33173-3274
Phone
(305) 595-6202
Fax
(305) 595-6201
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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 ME0053192 FL Primary

Addresses

Primary practice location

9210 SW 72ND St
Ste 100
Miami, FL 33173-3274

Mailing address

9210 SW 72ND St
Ste 100
Miami, FL 33173-3274
Phone (305) 595-6202

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040524000430 FL Practitioner - Internal Medicine 6709877152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albite and Fernandez MD PAGroup PAC ID 2668463001, 3 clinicians

Practice addresses (Care Compare)

9210 SW 72 St
Suite 100
Miami, FL 33173-3274
Phone (305) 595-6202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0053192FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albite & Fernandez MD PA Internal Medicine CurrentSince Jun 11, 1999 Accepting new patients

Locations

9210 SW 72nd St
Ste 100
Miami, FL 33173
Phone (305) 595-6202

Organizations & group practices 1

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 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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1235110057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 SW 72ND ST",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733274",
            "telephone_number": "305-595-6202",
            "fax_number": "305-595-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 SW 72ND ST",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733274",
            "telephone_number": "305-595-6202",
            "fax_number": "305-595-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0053192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.