Individual provider Active NPI

Luis Beltran Fernandez, M.D

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1881797686
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
213954 Issued in NY
Practice address
414 Vanderbilt Ave PH
Brooklyn, NY 11238-1505
Phone
(718) 399-3498
Fax
(718) 963-5800
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 213954 NY Primary

Addresses

Primary practice location

414 Vanderbilt Ave PH
Brooklyn, NY 11238-1505

Mailing address

414 Vanderbilt Ave # PH
Brooklyn, NY 11238-1505
Phone (718) 399-3498

Other practice location 1

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, OH, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110425000476 NY Practitioner - Diagnostic Radiology 8426233081 Reassigns benefits to 2 organizations
I20250513003561 FL Practitioner - Diagnostic Radiology 8426233081 Reassigns benefits to 2 organizations
I20260529003663 OH Practitioner - Diagnostic Radiology 8426233081 Reassigns benefits to 1 organization
I20260604004565 IN Practitioner - Diagnostic Radiology 8426233081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, shared by 22 NPIs, 176 clinicians

Practice addresses (Care Compare)

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

707 S Edwin C Moses Blvd
Dayton, OH 45417-3462
Phone (937) 331-9265

801 Oak St
Green Cove Springs, FL 32043-4317
Phone (904) 284-9230

8060 Knue Rd
Indianapolis, IN 46250-1976
Phone (317) 813-8900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Dec 18, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Millennium Physician Group LLC CurrentSince May 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Dec 18, 2023 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Apr 10, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince May 1, 2025 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Jul 7, 2026 Accepting new patients

Locations

13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

815 Broadway
Brooklyn, NY 11206
Phone (646) 614-8200

227 Madison St
New York, NY 10002
Phone (212) 238-7000

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

50 Water St
Fl 3
New York, NY 10004

680 Buckles Ct N
Ste 1A
Columbus, OH 43230
Phone (614) 986-0125

3823 Trueman Ct
Hilliard, OH 43026
Phone (614) 876-9558

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Freedom Health HMO Network

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1881797686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 VANDERBILT AVE # PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381505",
            "telephone_number": "718-399-3498",
            "fax_number": "718-963-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 VANDERBILT AVE PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381505",
            "telephone_number": "718-399-3498",
            "fax_number": "718-963-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13813 Metro Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124343",
            "country_code": "US",
            "telephone_number": "855-674-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "BELTRAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "213954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.