Individual provider Active NPI

Fernando De Jesus Sanchez, MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1699730648
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME51638 Issued in FL
Practice address
18300 NW 62 Ave
Suite 300
Hialeah, FL 33015-3306
Phone
(305) 628-4600
Fax
(305) 628-8090
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME51638 FL
Internal Medicine Physician 207R00000X ME51638 FL Primary

Addresses

Primary practice location

18300 NW 62 Ave
Suite 300
Hialeah, FL 33015-3306

Mailing address

18300 NW 62 Ave
Suite 300
Hialeah, FL 33015-3306
Phone (305) 628-4600

Other identifiers 1

IdentifierTypeStateIssuer
371092102MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fernandosanchez@immg.directbygreenway.com

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
I20120224000162 FL Practitioner - Internal Medicine 9032153408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Miami Gardens IncGroup PAC ID 1052355427, 3 clinicians

Practice addresses (Care Compare)

18300 NW 62ND Ave
Suite 300
Hialeah, FL 33015-8217
Phone (305) 628-4600

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51638FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Miami Gardens Inc Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients

Locations

18590 NW 67th Ave
Ste 230
Hialeah, FL 33015
Phone (305) 351-4048

18300 NW 62nd Ave
Ste 300
Miami Gardens, FL 33015
Phone (305) 628-4600

12741 Miramar Pkwy
Ste 103
Miramar, FL 33027
Phone (954) 433-9923

3220 S Douglas Rd
#A
Miramar, FL 33025
Phone (954) 433-9923

Interoperability endpoints

  • Direct secure messaging: fsanchez12582@mhsdirect.net
  • Direct secure messaging: fernandosanchez@immg.directbygreenway.com

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.

Hospital & facility affiliations 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1699730648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 NW 62 AVE",
            "address_2": "SUITE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153306",
            "telephone_number": "305-628-4600",
            "fax_number": "305-628-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62 AVE",
            "address_2": "SUITE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153306",
            "telephone_number": "305-628-4600",
            "fax_number": "305-628-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "FERNANDO",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME51638",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371092102",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fernandosanchez@immg.directbygreenway.com",
            "affiliation": "N",
            "address_1": "18300 NW 62 Ave",
            "address_2": "Suite 300",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330153306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.