Jim B Fernandez, MD

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

L2246 Issued in TX

Practice address

900 W 38TH St
#300
Austin, TX 78705-1127

Phone

(512) 450-1300

Fax

(512) 450-1339

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physical Medicine and Rehabilitation

Education

Texas Tech University Health Science Center School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Sports Medicine LLPGroup PAC ID 3779596986, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.76 of 100Reported as individual

Quality

52.33

Improvement activities

40

Cost

82.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jim.fernandez.1@30366.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/30366/brand/1/csg/1/fhir/r4

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.

• Austin Sports Medicine LLP

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Austin, TX
  • NPI 1770553653
  Medicare reassignment Care Compare group NPD
• TX Fidelis PA

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1366765141
  NPD (past) Authorized official
• Metrocrest Orthopaedics & Sports Medicine

  • Specialist
  • Carrollton, TX
  • NPI 1710030374
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1831135953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 38TH ST",
            "address_2": "#300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051127",
            "telephone_number": "512-450-1300",
            "fax_number": "512-450-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 38TH ST",
            "address_2": "#300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051127",
            "telephone_number": "512-450-1300",
            "fax_number": "512-450-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JIM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "L2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NUMBER",
            "identifier": "1278600001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149109402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "L2246",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Fernandez
• Danielle M. Fernandez
• Della L. Fernandez, LCDC
• Gabriela Fernandez, L.AC
• Jenny Fernandez, RDN
• Karen Kim Fernandez, OT
• Laura Mariana Fernandez, DDS
• Maria Fernanda Fernandez
• Marisol Fernandez
• Marisol Fernandez, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.

Verify at the official NPI Registry.