Individual provider Active NPI

Alexis Napoleon Fernandez, MD

  • Pediatrics Physician
  • Sarasota, FL
National Provider Identifier
1659722296
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME139596 Issued in FL
Practice address
2020 Cattlemen Rd Ste 600
Sarasota, FL 34232-6284
Phone
(941) 955-9151
Fax
(941) 366-7582
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN23477 FL
Pediatrics Physician 208000000X ME139596 FL Primary

Addresses

Primary practice location

2020 Cattlemen Rd Ste 600
Sarasota, FL 34232-6284

Mailing address

2020 Cattlemen Rd Ste 600
Sarasota, FL 34232-6284
Phone (941) 955-9151

Other identifiers 1

IdentifierTypeStateIssuer
ME139596OtherFLFL DOH

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
I20160812001251 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6800180811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139596FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Pediatrics of Naples, LLC Pediatrics Past Accepting new patients
Comprehensive Childcare Associates Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1659722296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CATTLEMEN RD STE 600",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326284",
            "telephone_number": "941-955-9151",
            "fax_number": "941-366-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CATTLEMEN RD STE 600",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326284",
            "telephone_number": "941-955-9151",
            "fax_number": "941-366-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ALEXIS",
        "middle_name": "NAPOLEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN23477",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME139596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DOH",
            "identifier": "ME139596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.