Individual provider Active NPI

Celia M Fernandez, M.D.

  • Rheumatology Physician
  • Cullman, AL
National Provider Identifier
1447313952
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
33566 Issued in AL
Practice address
117 2ND Ave SE
Cullman, AL 35055-3511
Phone
(256) 291-8877
Fax
(833) 319-3812
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33566 AL
Rheumatology Physician 207RR0500X 33566 AL Primary

Addresses

Primary practice location

117 2ND Ave SE
Cullman, AL 35055-3511

Mailing address

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Other names 1

  • Dr. Celia Fernandez-Botelho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20141110001247 AL Practitioner - RheumatologyPractitioner - Internal Medicine 1254318728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Ponce School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warehouse Primary Care and Specialty Clinic Inc.Group PAC ID 8527446301, 10 clinicians

Practice addresses (Care Compare)

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Hospital & facility affiliations

  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warehouse Primary Care & Specialty Clinic Inc. Rheumatology CurrentSince Aug 1, 2022 Accepting new patients
Jupiter Internal Medicine Group LLC Internal Medicine Past Accepting new patients
Stuart Internal Medicine Group LLC Internal Medicine PastSince Jul 1, 2008 Accepting new patients

Locations

101 2nd Ave SE
Cullman, AL 35055
Phone (256) 737-1793

117 2nd Ave SE
Cullman, AL 35055
Phone (256) 291-8877

Interoperability endpoints

  • Direct secure messaging: celia.fernandez.cullmaninternalmedicine@cim.direct.systemedx.com
  • Direct secure messaging: celia.fernandez@948034614067204.direct.elationemr.com

Organizations & group practices 3

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 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1447313952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "256-737-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "833-319-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CELIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "33566",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "33566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELIA",
            "last_name": "FERNANDEZ-BOTELHO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.