Individual provider Active NPI

Michel Fernandez, MD

  • Pulmonary Disease Physician
  • Brentwood, TN
National Provider Identifier
1477717841
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME127196 Issued in FL
Practice address
2000 Health Park Dr
Brentwood, TN 37027-4525
Phone
(615) 372-5068
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N2072 TX
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X ME127196 FL Primary

Addresses

Primary practice location

2000 Health Park Dr
Brentwood, TN 37027-4525

Mailing address

100 Broadbranch Way
Saint Johns, FL 32259-7212
Phone (817) 907-9550

Other practice location 1

100 Broadbranch Way
Saint Johns, FL 32259-7212
Phone (817) 907-9550

Other identifiers 2

IdentifierTypeStateIssuer
197425501MedicaidTX
8X9566OtherTXBCBS

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
I20160725001119 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1658432059 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (561) 997-0821

Hospital & facility affiliations

  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2072TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Consortium Inc CurrentSince Nov 13, 2018 Accepting new patients
Blueapplecare, LLC. Pulmonary Disease CurrentSince Nov 25, 2022 Accepting new patients
Dauris Figueras MD, PA Internal Medicine CurrentSince Nov 25, 2022 Accepting new patients
Respiratory Critical Care and Sleep Medicine Associates,Inc Pulmonary Disease CurrentSince Jul 1, 2016 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Internal Medicine PastSince Apr 16, 2023 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910

1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243

1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2625 Executive Park Dr
Ste 101
Weston, FL 33331
Phone (954) 447-7736

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michel.fernandez@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1477717841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROADBRANCH WAY",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597212",
            "telephone_number": "817-907-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Broadbranch Way",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322597212",
            "country_code": "US",
            "telephone_number": "817-907-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MICHEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2072",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME127196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197425501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X9566",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.