Active NPI
Ernesto Fuentes, M.D
- Internal Medicine Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME69147
- Practice address
- 601 N Flamingo Rd
Suite 400
Pembroke Pines, FL 33028-1015 - Phone
- (954) 687-9745
- Fax
- (954) 666-0668
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME69147 | FL | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 400
Pembroke Pines, FL 33028-1015
Mailing address
2114 N Flamingo Rd
Ste 306
Pembroke Pines, FL 33028-3501
Phone (954) 687-9745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251312900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NM, NC, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME69147 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Emergency Physicians PLLC | Current | Accepting new patients | |
| Western Mountain Hospital Physicians PLLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Warren Clinic Inc | Current | Accepting new patients | |
| Southeastern Medical Group, PC | Current | Accepting new patients | |
| Lake Wales Physician Services, LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Hyperbaric Associates of Florida P a | Past | Accepting new patients | |
| Saint Francis Hospital Muskogee Inc | Past | Accepting new patients |
Locations
410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214
190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Lake Wales, FL
- NPI 1164902797
-
- Emergency Medicine Physician
- Alamogordo, NM
- NPI 1144793464
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Hospitalist Physician
- Brevard, NC
- NPI 1184669053
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Hospitalist Physician
- Alamogordo, NM
- NPI 1992278360
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Internal Medicine
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pembroke Pines, FL
- NPI 1831302942
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1649266461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 N FLAMINGO RD",
"address_2": "STE 306",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330283501",
"telephone_number": "954-687-9745",
"fax_number": "954-666-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 400",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-687-9745",
"fax_number": "954-666-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "ERNESTO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME69147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251312900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.