Individual provider Active NPI

Eduardo B. Fernandez, M.D.

  • Urology Physician
  • Laredo, TX
National Provider Identifier
1437209228
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K3724 Issued in TX
Practice address
1710 E Saunders St Ste 660
Laredo, TX 78041-5456
Phone
(956) 795-8270
Fax
(956) 795-1783
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K3724 TX Primary

Addresses

Primary practice location

1710 E Saunders St Ste 660
Laredo, TX 78041-5456

Mailing address

7210 McPherson Rd
Suite 117
Laredo, TX 78041-6507
Phone (956) 795-8270

Other identifiers 1

IdentifierTypeStateIssuer
150953101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eduardo.fernandez.1@1902.direct.athenahealth.com

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
I20100810000401 TX Practitioner - Urology 3072522499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 E Saunders St
Suite B660
Laredo, TX 78041-5456
Phone (956) 795-8270

Hospital & facility affiliations

  • Superior Nursing Care Home health agency, Laredo, TX, CCN 747254
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4800TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Sep 16, 2012 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2019 Accepting new patients
Timberland Medical Group Urology CurrentSince Sep 16, 2012 Accepting new patients
Regional Employee Assistance Program Inc Urology CurrentSince Jan 1, 2019 Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

7210 McPherson Rd
Ste 117
Laredo, TX 78041
Phone (844) 225-8463

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

1710 E Saunders St
Ste B660
Laredo, TX 78041
Phone (956) 794-8850

1710 E Saunders St
Ste 660
Laredo, TX 78041
Phone (956) 795-8270

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1437209228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD",
            "address_2": "SUITE 117",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416507",
            "telephone_number": "956-795-8270",
            "fax_number": "956-795-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE 660",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415456",
            "telephone_number": "956-795-8270",
            "fax_number": "956-795-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "EDUARDO",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K3724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150953101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eduardo.fernandez.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1710 E Saunders St Ste 660",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780415456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.