Individual provider Active NPI

Hernando Jose Cordero Fernandez de Cordova, MD

  • Pulmonary Disease Physician
  • Miami Beach, FL
National Provider Identifier
1770969859
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME161764 Issued in FL
Practice address
4302 Alton Rd Ste 940
Miami Beach, FL 33140-2890
Phone
(305) 674-2055
Fax
(305) 674-2075
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 295900 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME161764 FL
Pulmonary Disease Physician 207RP1001X ME161764 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 940
Miami Beach, FL 33140-2890

Mailing address

4302 Alton Rd Ste 940
Miami Beach, FL 33140-2890
Phone (305) 674-2055

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
I20230614004038 FL Practitioner - Pulmonary Disease 8022352137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Intensivist Group, PAGroup PAC ID 1759754252, 36 clinicians
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 481-9776

4302 Alton Rd
Miami, FL 33140-2890
Phone (305) 674-2655

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295900NYMDInternal Medicine Physician
ME161764FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Intensivist Group, PA Critical Care Medicine CurrentSince Aug 3, 2023 Accepting new patients
Physician Practices of MSMC, LLC Internal Medicine CurrentSince Jul 17, 2023 Accepting new patients

Locations

6050 W 20th Ave
Fl 3
Hialeah, FL 33016
Phone (786) 584-5000

4302 Alton Rd
Ste 940
Miami Beach, FL 33140
Phone (305) 674-2055

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: hcorderofernandezdecordova91283@direct.msmc.com
  • Direct secure messaging: hcorderofernandezdecordova841221@nychhc.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1770969859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 940",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402890",
            "telephone_number": "305-674-2055",
            "fax_number": "305-674-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 940",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402890",
            "telephone_number": "305-674-2055",
            "fax_number": "305-674-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO FERNANDEZ DE CORDOVA",
        "first_name": "HERNANDO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295900",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME161764",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME161764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.