Individual provider Active NPI

Francisco Javier Fernandez Pacheco

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1265993232
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME153368 Issued in FL
Practice address
12002 SW 128TH CT Ste 204
Miami, FL 33186-4643
Phone
(305) 234-8264
Fax
(559) 242-9429
NPI assigned
Mar 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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
Internal Medicine Physician 207R00000X ME153368 FL Primary

Addresses

Primary practice location

12002 SW 128TH CT Ste 204
Miami, FL 33186-4643

Mailing address

12002 SW 128TH CT Ste 204
Miami, FL 33186-4643
Phone (305) 234-8264

Other practice location 1

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-2000 ext. 6720

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
I20220829003600 FL Practitioner - Internal Medicine 1951785617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12002 SW 128 CT
Suite 204
Miami, FL 33186-4643
Phone (305) 234-8264

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Kendall Lakes Healthcare and Rehab Center Nursing home, Miami, FL, CCN 686123
  • Coral Reef Subacute Care Center LLC Nursing home, Miami, FL, CCN 105910

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fernandez Pacheco MD Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

12002 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 234-8264

Interoperability endpoints

  • Direct secure messaging: francisco.fernandezpacheco@hca4.eclinicaldirectplus.com

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 3

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": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1265993232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "305-234-8264",
            "fax_number": "559-242-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "305-234-8264",
            "fax_number": "559-242-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 Bird Rd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-2000 x6720",
            "fax_number": "305-227-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ PACHECO",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.