Individual provider Active NPI

Ernesto M Fernandez, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1346317054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H5767 Issued in TX
Practice address
8355 Walnut Hill LN
Suite 105
Dallas, TX 75231-4219
Phone
(214) 987-0117
Fax
(214) 691-8801
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H5767 TX Primary

Addresses

Primary practice location

8355 Walnut Hill LN
Suite 105
Dallas, TX 75231-4219

Mailing address

8355 Walnut Hill LN
Suite 105
Dallas, TX 75231-4219
Phone (214) 987-0117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000309 TX Practitioner - Pediatric MedicinePractitioner - EndocrinologyPractitioner - Critical Care (Intensivists) 7719989110 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Dec 21, 2009 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Pediatrics CurrentSince Dec 21, 2009 Accepting new patients
Roger O. Schorlemer MD Pediatrics PastSince Dec 3, 2023 Accepting new patients

Locations

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

Interoperability endpoints

  • Direct secure messaging: ernief@cpatx.pcc-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346317054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314219",
            "telephone_number": "214-987-0117",
            "fax_number": "214-691-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314219",
            "telephone_number": "214-987-0117",
            "fax_number": "214-691-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ERNESTO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H5767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.