Active NPI
Cesar Augusto Fernandez Pedemonte, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME 108322
- Practice address
- 1190 NE 125TH St
North Miami, FL 33161-5032 - Phone
- (305) 891-7500
- NPI assigned
- Dec 24, 2009
- Last updated
- Aug 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125053390 | IL | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME 108322 | FL | Primary |
Addresses
Primary practice location
1190 NE 125TH St
North Miami, FL 33161-5032
Mailing address
1190 NE 125TH St
North Miami, FL 33161-5032
Phone (305) 891-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|
| ME 108322 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
| 125053390 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QMC LLC | Current | Accepting new patients |
Locations
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
16100 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 354-8800
7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585
Organizations & group practices 1
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": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1376872200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 NE 125TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615032",
"telephone_number": "305-891-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NE 125TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615032",
"telephone_number": "305-891-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ PEDEMONTE",
"first_name": "CESAR",
"middle_name": "AUGUSTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-24",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125053390",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME 108322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.