Active NPI
Mario Benjamin Fernandez, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- N7256
- Practice address
- 11212 State Highway 151
San Antonio, TX 78251-4498 - Phone
- (210) 703-8501
- NPI assigned
- Aug 5, 2008
- Last updated
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | N7256 | TX | Primary |
Addresses
Primary practice location
11212 State Highway 151
San Antonio, TX 78251-4498
Mailing address
11212 State Highway 151
San Antonio, TX 78251-4498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7256 | TX | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Carenow Urgent Care PLLC | Current | Accepting new patients | |
| Victoria Emergency Partners LLC | Current | Accepting new patients | |
| Essential Med Clinic | Past | Accepting new patients | |
| St. David's Carenow Urgent Care PLLC | Past | Accepting new patients |
Locations
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
13909 Nacogdoches Rd
Ste 111
San Antonio, TX 78217
Phone (210) 655-0100
20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445
2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
4130 S New Braunfels Ave
Ste 112
San Antonio, TX 78223
Phone (210) 290-9537
9234 N Loop 1604 W
Ste 110
San Antonio, TX 78249
Phone (210) 257-0736
Interoperability endpoints
- https://api.platform.athenahealth.com/20373/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1083154207
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1730637778
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1376033951
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1326204744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 STATE HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 STATE HIGHWAY 151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514498",
"telephone_number": "210-703-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MARIO",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "N7256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.