Individual provider Active NPI

Cesar Augusto Fernandez Pedemonte, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • North Miami, FL
National Provider Identifier
1376872200
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME 108322 Issued in FL
Practice address
1190 NE 125TH St
North Miami, FL 33161-5032
Phone
(305) 891-7500
NPI assigned
Dec 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000650 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1355513946 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 108322FLMDGeriatric Medicine (Internal Medicine) Physician
125053390ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince Apr 28, 2019 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.