Individual provider Active NPI

Zarah Bautista Fernandez, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1285917823
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
303020 Issued in NY
Practice address
408 W 14TH St Ste 201
New York, NY 10014-1042
Phone
(212) 530-0639
Fax
(212) 867-4353
NPI assigned
Sep 20, 2011
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 303020 NY Primary

Addresses

Primary practice location

408 W 14TH St Ste 201
New York, NY 10014-1042

Mailing address

129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791

Other practice location 1

81719 Doctor Carreon Blvd Ste A-1
Indio, CA 92201-0600
Phone (760) 347-0707

Other practice location 2

501 2nd St Ste 415
San Francisco, CA 94107-4132
Phone (415) 529-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 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
I20111228000253 CA Practitioner - Internal Medicine 9537334479 Reassigns benefits to 1 organization
I20200324000498 NY Practitioner - Internal Medicine 9537334479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical of Ny PCGroup PAC ID 3274713110, 72 clinicians

Practice addresses (Care Compare)

408 W 14TH St
Suite 201
New York, NY 10014-1042
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303020NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Montefiore Medical Center CurrentSince Jan 11, 2026 Accepting new patients
One Medical Group, Inc. Internal Medicine CurrentSince Feb 12, 2018 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 11, 2026 Accepting new patients
One Medical of Ny, P.C. Internal Medicine CurrentSince Jan 11, 2026 Accepting new patients
One Medical Group, Inc Internal Medicine CurrentSince Feb 12, 2018 Accepting new patients
Chandrashekar Medical Corporation PastSince Nov 2, 2011 Accepting new patients
Mount Sinai School of Medicine Internal Medicine Past Accepting new patients

Locations

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 523-6317

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

501 2nd St
Ste 415
San Francisco, CA 94107
Phone (415) 529-4567

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

111 E 210th St
Bronx, NY 10467

408 W 14th St
Ste 201
New York, NY 10014
Phone (212) 530-0639

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

Interoperability endpoints

  • Direct secure messaging: zarahfernandez@mai.allscriptsdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1285917823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 29TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015105",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 14TH ST STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141042",
            "telephone_number": "212-530-0639",
            "fax_number": "212-867-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81719 Doctor Carreon Blvd Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922010600",
            "country_code": "US",
            "telephone_number": "760-347-0707",
            "fax_number": "760-347-3378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 2nd St Ste 415",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941074132",
            "country_code": "US",
            "telephone_number": "415-529-4567",
            "fax_number": "415-291-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ZARAH",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "303020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.