Individual provider Active NPI

Ricardo Fernandez, M.D.

  • Internal Medicine Physician
  • Upper Marlboro, MD
National Provider Identifier
1609913532
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D80848 Issued in MD
Practice address
901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone
(240) 677-3000
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 MD30375 DC
Internal Medicine Physician 207R00000X D80848 MD Primary

Addresses

Primary practice location

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477

Mailing address

3149 Adams Mill Rd NW
Washington, DC 20010-2611

Other practice location 1

2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 420-7022

Other identifiers 1

IdentifierTypeStateIssuer
028766700MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040716001062 DC Practitioner - Internal Medicine 7214916832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dimensions Healthcare Associates, IncGroup PAC ID 1557269743, 198 clinicians

Practice addresses (Care Compare)

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Merit-based Incentive Payment System (MIPS)

Final score
96.64 of 100Reported as group
Quality
88.96
Promoting interoperability
100
Improvement activities
40
Cost
73.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D80848MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
La Clinica del Pueblo, Inc. CurrentSince Sep 17, 2012 Accepting new patients
La Clinica del Pueblo, Inc CurrentSince Sep 17, 2012 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region Internal Medicine CurrentSince May 20, 2024 Accepting new patients
Dimensions Healthcare Associates Inc Internal Medicine CurrentSince May 20, 2024 Accepting new patients

Locations

2831 15th St NW
Washington, DC 20009
Phone (202) 462-4788

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Interoperability endpoints

  • Direct secure messaging: rfernandez1101912@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1609913532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 ADAMS MILL RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "240-677-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Ontario Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200092627",
            "country_code": "US",
            "telephone_number": "202-420-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD30375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D80848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028766700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.