NPIMap

Individual provider Active NPI

Robert Fernandez, MD

  • Family Medicine Physician
  • Huntsville, TX
National Provider Identifier
1710985536
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3885 Issued in TX
Practice address
123 Medical Park LN Ste a
Huntsville, TX 77340-4981
Phone
(936) 291-2116
Fax
(936) 435-7896
NPI assigned
Jul 14, 2005
Last updated
Sep 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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 L3885 TX Primary

Addresses

Primary practice location

123 Medical Park LN Ste a
Huntsville, TX 77340-4981

Mailing address

957 Elkins LK
Huntsville, TX 77340-8808
Phone (936) 291-2116

Other identifiers 1

IdentifierTypeStateIssuer
152374801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000062 TX Practitioner - Family Practice 0547239824 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

4015 I-45 N
100 Houston Methodist Primary Care Group
Conroe, TX 77304-5076
Phone (936) 270-4600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Jun 8, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 3, 2018 Accepting new patients
Nluc PLLC CurrentSince Jun 8, 2019 Accepting new patients
Next Level MV LLC CurrentSince Jun 8, 2019 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Dec 3, 2018 Accepting new patients
Nluc PLLC CurrentSince Jun 8, 2019 Accepting new patients
Huntsville Family Medicine, LLP CurrentSince Aug 1, 2002 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients
Southwest Medical Associates, Inc. Past Accepting new patients
Huntsville Memorial Emergency Physicians, LLP PastSince Dec 14, 2005 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

4015 Interstate 45 N
Ste 100
Conroe, TX 77304
Phone (936) 270-4600

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

123 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (409) 291-2116

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: rfernandez219487@directhoustonmethodist.org

Organizations & group practices 11

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.

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1710985536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 ELKINS LK",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773408808",
            "telephone_number": "936-291-2116",
            "fax_number": "936-294-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL PARK LN STE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404981",
            "telephone_number": "936-291-2116",
            "fax_number": "936-435-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152374801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.