NPIMap

Individual provider Active NPI

Laura Fernandes, MD

  • Interventional Cardiology Physician
  • Shenandoah, TX
National Provider Identifier
1811083116
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K7017 Issued in TX
Practice address
920 Medical Plaza Dr
Suite 520
Shenandoah, TX 77380-3260
Phone
(832) 562-3974
Fax
(832) 813-0233
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K7017 TX
Interventional Cardiology Physician 207RI0011X K7017 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr
Suite 520
Shenandoah, TX 77380-3260

Mailing address

920 Medical Plaza Dr
Suite 520
Shenandoah, TX 77380-3260
Phone (832) 562-3974

Other identifiers 1

IdentifierTypeStateIssuer
8CC568OtherTXBLUE CROSS & BLUE SHIELD OF TEXAS

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
I20040507001124 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 6103815865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodlands Heart and Vascular Institute PAGroup PAC ID 2860531977, 3 clinicians

Practice addresses (Care Compare)

920 Medical Plaza Dr
Shenandoah, TX 77380-3204
Phone (832) 562-3974

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Henderson, TX, CCN 458072
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7017TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Cath Lab of Conroe, LP CurrentSince Apr 13, 2015 Accepting new patients
Woodlands Heart and Vascular Institute, PA Interventional Cardiology CurrentSince Oct 11, 2009 Accepting new patients
Ughs Physician Services Past Accepting new patients
South Texas Cardiovascular Consultants Cardiovascular Disease Past Accepting new patients
New Mexico Heart Institute, LLC Cardiovascular Disease Past Accepting new patients
South Texas Cardiovascular Consultants Past Accepting new patients

Locations

116 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (832) 813-8074

17183 I 45 S
Ste 350
Shenandoah, TX 77385
Phone (936) 321-0080

920 Medical Plaza Dr
Ste 520
Shenandoah, TX 77380
Phone (832) 562-3974

Interoperability endpoints

  • Direct secure messaging: lfernandes65683@memorialhermann.direct-ci.com
  • Direct secure messaging: laura.fernandes.1@11939.direct.athenahealth.com

Organizations & group practices 6

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 11

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1811083116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 520",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "832-562-3974",
            "fax_number": "832-813-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 520",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "832-562-3974",
            "fax_number": "832-813-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K7017",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K7017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF TEXAS",
            "identifier": "8CC568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.