Active NPI
Gil M Fernandez, MD
- Family Medicine Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME116423
- Practice address
- 2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501 - Phone
- (561) 420-8555
- Fax
- (888) 442-6078
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006014651 | MO | |
| Family Medicine Physician | 207Q00000X | 048058 | CT | |
| Family Medicine Physician | 207Q00000X | ME116423 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 2010029567 | MO |
Addresses
Primary practice location
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Mailing address
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 420-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1504 Madison Ave
Fort Atkinson, WI 53538-3100
Phone (920) 563-7888
1520 Madison Ave
Fort Atkinson, WI 53538-3100
Phone (920) 563-5500
200 E Tyranena Park Rd
Lake Mills, WI 53551-9678
Phone (920) 648-8393
611 E Sherman Ave
Fort Atkinson, WI 53538-1960
Phone (920) 568-5000
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Hospital & facility affiliations
- Interim Healthcare of Wisconsin
- Fort Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006014651 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Fort Healthcare, Inc. | Current | Accepting new patients | |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
Locations
704 Katie Ct
Cambridge, WI 53523
Phone (608) 423-1100
1520 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-5500
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
840 W Racine St
Jefferson, WI 53549
Phone (920) 674-6000
400 Doctors Ct
Johnson Creek, WI 53038
Phone (920) 699-4000
200 E Tyranena Park Rd
Lake Mills, WI 53551
Phone (920) 648-3113
1461 W Main St
Ste F
Whitewater, WI 53190
Phone (262) 473-5599
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Madison, WI
- NPI 1144518648
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1720269608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096501",
"telephone_number": "561-420-8555",
"fax_number": "888-442-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096501",
"telephone_number": "561-420-8555",
"fax_number": "888-442-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "GIL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2006014651",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "048058",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME116423",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2010029567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.