Individual provider Active NPI

Angelo Miguel Fernandes, MD

  • Hospitalist Physician
  • Tampa, FL
National Provider Identifier
1316980071
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME91189 Issued in FL
Practice address
3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600
Phone
(813) 615-7028
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME91189 FL Primary
Gastroenterology Physician 207RG0100X MD30147 ME
Gastroenterology Physician 207RG0100X ME91189 FL
Gastroenterology Physician 207RG0100X 110816 GA

Addresses

Primary practice location

3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600

Mailing address

3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600
Phone (813) 615-7028

Other practice location 1

10000 Bay Pines Blvd.
Building 100, Room 4C-146
Bay Pines, FL 33744
Phone (727) 398-6661 ext. 5124

Other practice location 2

9800 S Healthpark Dr Ste 110
Fort Myers, FL 33908-3630
Phone (239) 343-6202

Other practice location 3

4 Glen Cove Dr Ste 10
Rockport, ME 04856-4235
Phone (207) 301-5790

Other identifiers 1

IdentifierTypeStateIssuer
021727600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 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
I20050808000417 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 8729017041 Reassigns benefits to 3 organizations
I20260311000143 ME Practitioner - Gastroenterology 8729017041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
McGill University, Faculty of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

300 Riverside Dr E
Suite 2010
Bradenton, FL 34208-1023
Phone (941) 405-1170

4 Glen Cove Dr
Rockport, ME 04856-4235

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

9800 S Healthpark Dr
Suite 110
Fort Myers, FL 33908-3630
Phone (239) 343-6202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91189FLMDGastroenterology Physician
MD30147MEMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 27, 2026 Accepting new patients
Florida Hospital Physician Group Inc Gastroenterology CurrentSince Aug 14, 2017 Accepting new patients
Lee Health System Inc CurrentSince Mar 25, 2026 Accepting new patients
Lee Health System Inc CurrentSince Mar 25, 2026 Accepting new patients
Mainehealth CurrentSince Apr 27, 2026 Accepting new patients
MCR Health, Inc. CurrentSince Oct 4, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Oct 4, 2022 Accepting new patients
MCR Health, Inc. Past Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

300 Riverside Dr E
Ste 2010
Bradenton, FL 34208
Phone (941) 405-1170

6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

9800 S Healthpark Dr
Ste 110
Fort Myers, FL 33908
Phone (239) 344-2307

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3000 Medical Park Dr
Ste 500
Tampa, FL 33613
Phone (813) 615-7028

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

4 Glen Cove Dr
Ste 10
Rockport, ME 04856
Phone (207) 301-5790

Interoperability endpoints

  • Direct secure messaging: angelo.fernandes.2@11352.direct.athenahealth.com

Organizations & group practices 10

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 4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1316980071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136600",
            "telephone_number": "813-615-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136600",
            "telephone_number": "813-615-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Bay Pines Blvd.",
            "address_2": "Building 100, Room 4C-146",
            "address_purpose": "LOCATION",
            "city": "Bay Pines",
            "state": "FL",
            "postal_code": "33744",
            "country_code": "US",
            "telephone_number": "727-398-6661 x5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9800 S Healthpark Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083630",
            "country_code": "US",
            "telephone_number": "239-343-6202",
            "fax_number": "239-343-4159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Glen Cove Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564235",
            "country_code": "US",
            "telephone_number": "207-301-5790",
            "fax_number": "207-301-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "ANGELO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME91189",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD30147",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME91189",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "110816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021727600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.