Active NPI
James Emil Fernando, M.D.
- Family Medicine Physician
- Spokane, WA
National Provider Identifier
1679929541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60884493
- Practice address
- 104 W 5TH Ave
Ste 200W
Spokane, WA 99204-4880 - Phone
- (509) 624-2313
- Fax
- (509) 459-0686
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22953 | ND | |
| Family Medicine Physician | 207Q00000X | MD60884493 | WA | Primary |
Addresses
Primary practice location
104 W 5TH Ave
Ste 200W
Spokane, WA 99204-4880
Mailing address
104 W 5TH Ave Ste 200W
Spokane, WA 99204-4820
Phone (509) 624-2313
Other practice location 1
401 N 9th St
Bismarck, ND 58501-4530
Phone (701) 712-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 N 9TH St
Bismarck, ND 58501-4530
Phone (701) 712-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22953 | ND | MD | Family Medicine Physician |
| MD60884493 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health, LLC | Family Medicine | Current | Accepting new patients |
| Innovis Health LLC | Family Medicine | Current | Accepting new patients |
| Innovis Health, LLC | Single Specialty | Current | Accepting new patients |
Locations
401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
Interoperability endpoints
- jfernando208074@ghc.direct-ci.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1679929541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 5TH AVE STE 200W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044820",
"telephone_number": "509-624-2313",
"fax_number": "509-459-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"address_2": "STE 200W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044880",
"telephone_number": "509-624-2313",
"fax_number": "509-459-0686"
}
],
"practiceLocations": [
{
"address_1": "401 N 9th St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585014530",
"country_code": "US",
"telephone_number": "701-712-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDO",
"first_name": "JAMES",
"middle_name": "EMIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "22953",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60884493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.