Consuelo Delores Fernandez, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

D84329 Issued in MD

Practice address

6196 Oxon Hill Rd Ste 210
Oxon Hill, MD 20745-3137

Phone

(301) 567-2557

NPI assigned

Oct 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Decalo Medical Group, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Oxon Hill, MD
  • NPI 1285180448
  NPD (past)

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508630400000",
    "number": "1407367055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453137",
            "telephone_number": "301-567-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CONSUELO",
        "middle_name": "DELORES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D84329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Orthodontics of Maryland LLC
• Deitra Latrice Fant, MA,NCC,LCPC,LPC
• Rointan Farahifar, M.D.
• Hugo Farias
• Abraham Farivari, M.D.
• Lorenda Ferrell
• Shellie Fields
• Mahek Firasta
• Fitnp2020 LLC
• Shawnta Fitzpatrick, P.A.-C

• Pain Medicine (Anesthesiology) Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Pain Medicine (Anesthesiology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.