Active NPI
Fabian Jorge Arnaldo, MD
- Clinical Cardiac Electrophysiology Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- EMC0004314
- Practice address
- 3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151 - Phone
- (269) 985-1000
- NPI assigned
- Jan 17, 2007
- Last updated
- Dec 6, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01067582A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 01067582A | IN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01067582A | IN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | EMC0004314 | MI | Primary |
Addresses
Primary practice location
3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151
Mailing address
3950 Hollywood Rd Ste 100
Saint Joseph, MI 49085-9151
Other practice location 1
610 N Michigan St
Ste 400
South Bend, IN 46601-1081
Phone (574) 647-8120
Other practice location 2
500 Arcade Ave
Ste 400
Elkhart, IN 46514-2487
Phone (574) 522-2284
Other practice location 3
900 I St
La Porte, IN 46350-5533
Phone (219) 324-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200969320 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | farnaldo@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
Phone (269) 985-1000
4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067582A | IN | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Pathology Assoc of Southwestern Michigan, PC | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Memorial Hospital of South Bend | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Current | Accepting new patients | |
| Grand Heart, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Lakeland Community Hospital Watervliet | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital of South Bend | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients |
Locations
11700 N Meridian St
Ste 24
Carmel, IN 46032
12315 Hancock St
Ste 24
Carmel, IN 46032
Phone (317) 708-3732
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823
440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
17300 Westfield Blvd
Ste 110
Westfield, IN 46074
Phone (317) 428-5040
7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 100
Saint Joseph, MI 49085
Phone (269) 429-0900
3950 Hollywood Rd
Ste 110
Saint Joseph, MI 49085
Phone (269) 985-1000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- farnaldo@mybeacon.cernerdirect.com
- farnaldo1911269@epic00.corewelldirect.org
- farnaldo316979@direct.deaconess.com
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Organizations & group practices 16
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.
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
dba Corewell Health Watervliet Hospital Primary Care - Hartford
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Internal Medicine
-
- Clinical Cardiac Electrophysiology Physician
- Lebanon, IN
- NPI 1487422481
Cardiovascular Disease
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Corewell Health Watervliet Hospital
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
dba Corewell Health Watervliet Hospitals
- Family Medicine Physician
- Watervliet, MI
- NPI 1568644052
Internal Medicine
-
dba Corewell Health Lakeland Hospitals (MDPP)
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Joseph, MI
- NPI 1043228786
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1245382852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD STE 100",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD STE 100",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859151",
"telephone_number": "269-985-1000"
}
],
"practiceLocations": [
{
"address_1": "610 N Michigan St",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011081",
"country_code": "US",
"telephone_number": "574-647-8120",
"fax_number": "574-647-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Arcade Ave",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142487",
"country_code": "US",
"telephone_number": "574-522-2284",
"fax_number": "574-522-3952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 I St",
"address_purpose": "LOCATION",
"city": "La Porte",
"state": "IN",
"postal_code": "463505533",
"country_code": "US",
"telephone_number": "219-324-1700",
"fax_number": "219-324-1602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNALDO",
"first_name": "FABIAN",
"middle_name": "JORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01067582A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01067582A",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "01067582A",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "EMC0004314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200969320",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "farnaldo@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "610 N Michigan St Ste 400",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011081",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.