Individual provider Active NPI

Maria Paula Fernandez, MD

  • Ophthalmology Physician
  • Des Plaines, IL
National Provider Identifier
1235652207
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME149505 Issued in FL
Practice address
2454 E Dempster St Ste 400
Des Plaines, IL 60016-5320
Phone
(847) 299-0700
Fax
(847) 390-0616
NPI assigned
Jul 21, 2017
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X ME149505 FL Primary

Addresses

Primary practice location

2454 E Dempster St Ste 400
Des Plaines, IL 60016-5320

Mailing address

2454 E Dempster St Ste 400
Des Plaines, IL 60016-5320
Phone (847) 299-0700

Other names 1

  • Maria Paula Fernandez Jimenez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20231103000308 IL Practitioner - Ophthalmology 8628485976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants, LTDGroup PAC ID 4486633922, 11 clinicians
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

2454 E Dempster St
Suite 400
Des Plaines, IL 60016-5320
Phone (847) 299-0700

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149505FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants, LTD CurrentSince Oct 24, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince May 1, 2024 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Central Eye Care LTD Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Arbor Center for Eyecare Current Accepting new patients
Mount Sinai Community Foundation Ophthalmology CurrentSince May 1, 2024 Accepting new patients

Locations

3030 W Salt Creek Ln
Ste 300
Arlington Heights, IL 60005
Phone (224) 735-2016

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2653 W Ogden Ave
Fl 3
Chicago, IL 60608
Phone (773) 257-6701

2454 E Dempster St
Ste 400
Des Plaines, IL 60016
Phone (847) 299-0700

7831 W 95th St
Ste C
Hickory Hills, IL 60457
Phone (708) 598-2554

2640 183rd St
Homewood, IL 60430
Phone (708) 798-6633

755 S Milwaukee Ave
Ste 263
Libertyville, IL 60048
Phone (847) 299-0700

Interoperability endpoints

  • Direct secure messaging: maria.fernandez@retinaltd.eclinicaldirectplus.com
  • Direct secure messaging: mfernandez@opillinois.intellechartdirect.net
  • Direct secure messaging: mfernandez90501@direct.med.miami.edu

Organizations & group practices 6

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 2

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1235652207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST STE 400",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165320",
            "telephone_number": "847-299-0700",
            "fax_number": "847-390-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST STE 400",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165320",
            "telephone_number": "847-299-0700",
            "fax_number": "847-390-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "PAULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME149505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "FERNANDEZ JIMENEZ",
            "middle_name": "PAULA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.