Active NPI
Angelo Miguel Fernandes, MD
- Hospitalist Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME91189
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021727600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ME
- 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
- Gastroenterology
- Education
- McGill University, Faculty of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME91189 | FL | MD | Gastroenterology Physician |
| MD30147 | ME | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Gastroenterology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Gastroenterology
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba North Manatee Family Healthcare Center
- Federally Qualified Health Center (FQHC)
- Palmetto, FL
- NPI 1841236247
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Manatee Memorial Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
dba MaineHealth Pen Bay Hospital
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.