Individual provider Active NPI

Raul Alejandro Fernandez, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1699214411
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
OS15902 Issued in FL
Practice address
1100 NW 95TH St
Miami, FL 33150-2038
Phone
(305) 928-7249
Fax
(305) 630-3632
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 OS15902 FL
Pulmonary Disease Physician 207RP1001X OS15902 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS15902 FL Primary

Addresses

Primary practice location

1100 NW 95TH St
Miami, FL 33150-2038

Mailing address

2639 W 72ND St
Hialeah, FL 33016-5438
Phone (305) 335-0041

Other practice location 1

3100 S Douglas Rd
Coral Gables, FL 33134-6923
Phone (305) 928-7249

Other practice location 2

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1585
Phone (305) 928-7249

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
I20210810004239 FL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2466594999 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (305) 928-7249

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15902FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
QMC LLC CurrentSince Jul 20, 2021 Accepting new patients
Blue Horizon Interventional Pulmonary Corp Pulmonary Disease Current Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Raferdz Inc Pulmonary Disease CurrentSince May 1, 2024 Accepting new patients
First Docs PC Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
South Florida Critical Care Services LLC Critical Care Medicine CurrentSince May 15, 2024 Accepting new patients
Cioffi Inc. CurrentSince Sep 29, 2021 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

6750 Taft St
Hollywood, FL 33024
Phone (305) 929-8542

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

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.

Hospital & facility affiliations 3

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1699214411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165438",
            "telephone_number": "305-335-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502038",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 S Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346923",
            "country_code": "US",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W Oakland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333131585",
            "country_code": "US",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RAUL",
        "middle_name": "ALEJANDRO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS15902",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS15902",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS15902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.