Individual provider Active NPI

Robert A. J. Fernandez, D.O., M.P.H.

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1710188891
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4545 Issued in FL
Practice address
692 N Homestead Blvd Ste 102
Homestead, FL 33030-6236
Phone
(786) 243-5900
NPI assigned
May 29, 2007
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4545 FL Primary

Addresses

Primary practice location

692 N Homestead Blvd Ste 102
Homestead, FL 33030-6236

Mailing address

One Telemundo Way
Miami, FL 33182
Phone (786) 713-2700

Other practice location 1

Crossover Health at Telemundo
2350 NW 117th Place
Miami, FL 33182
Phone (786) 713-2700

Other identifiers 1

IdentifierTypeStateIssuer
116712100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Robert.Fernandez@49428401684484.direct.elationemr.com Direct Crossover Health Medical Group

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
I20081107000258 FL Practitioner - Family PracticePractitioner - General Practice 4385703115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4545FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Jan 23, 2023 Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince May 26, 2024 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients

Locations

11000 SW 211th St
Cutler Bay, FL 33189
Phone (305) 254-1500

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

650 N Homestead Blvd
Homestead, FL 33030
Phone (786) 243-5900

692 N Homestead Blvd
Ste 102
Homestead, FL 33030
Phone (305) 664-0067

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • Direct secure messaging: robert.fernandez@49428401684484.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1710188891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE TELEMUNDO WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33182",
            "telephone_number": "786-713-2700",
            "fax_number": "786-578-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 N HOMESTEAD BLVD STE 102",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306236",
            "telephone_number": "786-243-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Crossover Health at Telemundo",
            "address_2": "2350 NW 117th Place",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33182",
            "country_code": "US",
            "telephone_number": "786-713-2700",
            "fax_number": "786-578-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROBERT",
        "middle_name": "A. J.",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116712100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Fernandez@49428401684484.direct.elationemr.com",
            "affiliation": "Y",
            "affiliationName": "Crossover Health Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Crossover Health at Telemundo",
            "address_2": "2350 NW 117th Place",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.