Individual provider Active NPI

Ralph Joseph Fernandez Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1740365311
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.018206 Issued in LA
Practice address
4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone
(337) 984-1050
Fax
(337) 365-8421
NPI assigned
Oct 25, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.018206 LA Primary
Obstetrics & Gynecology Physician 207V00000X 018206 LA

Addresses

Primary practice location

4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other practice location 1

520 N Lewis St
Suite 103
New Iberia, LA 70563-2094
Phone (337) 365-0045

Other practice location 2

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 521-9100

Other identifiers 1

IdentifierTypeStateIssuer
1385573MedicaidLA

Other names 1

  • Dr. R. Joseph Fernandez Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040702000749 LA Practitioner - Obstetrics/Gynecology 8921085317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Women's Health Group, ApmcGroup PAC ID 1658349568, 12 clinicians

Practice addresses (Care Compare)

4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 984-1050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018206LAMDObstetrics & Gynecology Physician
MD.018206LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Physician Group LLC CurrentSince Jan 22, 2021 Accepting new patients
Acadiana Women's Health Group, Apmc Obstetrics & Gynecology CurrentSince Jan 5, 2015 Accepting new patients
New Iberia Surgery Center LLC Current Accepting new patients
Apex Prevention, LLC PastSince Jan 5, 2015 Accepting new patients
Breigh L Foster MD LLC Obstetrics & Gynecology Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4640 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (318) 984-1050

4640 Ambassador Caffery Pkwy
Bldg B
Lafayette, LA 70508
Phone (337) 984-1050

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

2445 E Milton Ave
Youngsville, LA 70592
Phone (337) 470-3260

Organizations & group practices 5

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 5

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1740365311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086902",
            "telephone_number": "337-984-1050",
            "fax_number": "337-365-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Lewis St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705632094",
            "country_code": "US",
            "telephone_number": "337-365-0045",
            "fax_number": "337-365-8421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086902",
            "country_code": "US",
            "telephone_number": "337-521-9100",
            "fax_number": "337-470-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RALPH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.018206",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "018206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385573",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "FERNANDEZ",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.