Individual provider Active NPI

Radames Ignacio Fernandez Felipe, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1720229107
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109004 Issued in FL
Practice address
9980 Pines Blvd
Pembroke Pines, FL 33024-6139
Phone
(954) 334-3151
Fax
(305) 675-5719
NPI assigned
Mar 16, 2009
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME109004 FL Primary

Addresses

Primary practice location

9980 Pines Blvd
Pembroke Pines, FL 33024-6139

Mailing address

9000 NW 15TH St Unit 6
Doral, FL 33172-2990
Phone (786) 894-6358

Other practice location 1

1565 W 29th St
Hialeah, FL 33012-5516
Phone (305) 537-4110

Other identifiers 1

IdentifierTypeStateIssuer
003699500MedicaidFL

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
I20110803000650 FL Practitioner - Internal Medicine 9032388301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMFL Medical Centers LLCGroup PAC ID 6103299326, 13 clinicians

Practice addresses (Care Compare)

9980 Pines Blvd
Pembroke Pines, FL 33024-6139
Phone (954) 334-3151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
VMFL Medical Centers LLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
VMFL Medical Centers LLC Internal Medicine Current Accepting new patients

Locations

9000 NW 15th St
Unit 6
Doral, FL 33172
Phone (305) 505-7149

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

109 Royal Palm Way
Palm Beach, FL 33480

9980 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 334-3151

Interoperability endpoints

  • Direct secure messaging: radames.fernandezfelipe.p1@direct.vivamasmedical.nextgenshare.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": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1720229107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 15TH ST UNIT 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722990",
            "telephone_number": "786-894-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246139",
            "telephone_number": "954-334-3151",
            "fax_number": "305-675-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 W 29th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125516",
            "country_code": "US",
            "telephone_number": "305-537-4110",
            "fax_number": "305-675-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ FELIPE",
        "first_name": "RADAMES",
        "middle_name": "IGNACIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003699500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.