Individual provider Active NPI

Raynieri Fernandez

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tinley Park, IL
National Provider Identifier
1255862637
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036.151776 Issued in IL
Practice address
8525 183Rd St Ste M
Tinley Park, IL 60487-3702
Phone
(708) 781-4000
NPI assigned
Mar 27, 2017
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-151776 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME154089 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036.151776 IL Primary

Addresses

Primary practice location

8525 183Rd St Ste M
Tinley Park, IL 60487-3702

Mailing address

8525 183Rd St
Tinley Park, IL 60487-3700
Phone (407) 303-2906

Other practice location 1

2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Phone (407) 303-2906

Other practice location 2

8525 183rd St Ste M
Tinley Park, IL 60487-3702
Phone (708) 781-4401

Other practice location 3

8525 183rd St
Tinley Park, IL 60487-3700
Phone (407) 303-2906

Other practice location 4

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2906

Other practice location 5

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (407) 303-2906

Other practice location 6

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (130) 558-5111

Other practice location 7

400 Celebration Pl
Celebration, FL 34747-4970
Phone (407) 303-2906

Other practice location 8

2450 N Orange Blossom Trl
Kissimmee, FL 34744-2316
Phone (407) 303-2906

Other practice location 9

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210
Phone (407) 303-2906

Other practice location 10

200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 303-2906

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rfernandez208839@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230911000058 FL Practitioner - Hospice/Palliative Care 6204107345 Reassigns benefits to 1 organization
I20260107000583 WI Practitioner - Internal Medicine 6204107345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-151776ILMDInternal Medicine Physician
036.151776ILMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Aug 14, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 14, 2023 Accepting new patients
Agrace Palliative Care LLC Hospice and Palliative Medicine CurrentSince Jan 5, 2026 Accepting new patients
Advocate Health and Hospitals Corporation PastSince Jul 1, 2020 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

2100 Ocoee Apopka Rd
Apopka, FL 32703
Phone (407) 609-7000

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000

5395 E Cheryl Pkwy
Fitchburg, WI 53711
Phone (608) 276-4660

Interoperability endpoints

  • Direct secure messaging: rfernandez1927546@adventhealth.direct-ci.com
  • Direct secure messaging: rfernandez208839@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1255862637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 183RD ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604873700",
            "telephone_number": "407-303-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 183RD ST STE M",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604873702",
            "telephone_number": "708-781-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Orange Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044659",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8525 183rd St Ste M",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604873702",
            "country_code": "US",
            "telephone_number": "708-781-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8525 183rd St",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604873700",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Altamonte Dr",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014802",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "130-558-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Celebration Pl",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474970",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 N Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347442316",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Ocoee Apopka Rd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327039210",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Lakemont Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923273",
            "country_code": "US",
            "telephone_number": "407-303-2906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RAYNIERI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-151776",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME154089",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036.151776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfernandez208839@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2301 E 93rd St Ste 3610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2301 E 93rd St Ste 3610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.