Individual provider Active NPI

Valerian Fernandes, MD

  • Interventional Cardiology Physician
  • Charleston, SC
National Provider Identifier
1912015967
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
22866 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-0001
Phone
(843) 792-1414
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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 22866 SC
Interventional Cardiology Physician 207RI0011X 22866 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-0001

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-1414

Other identifiers 1

IdentifierTypeStateIssuer
228667MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050308000760 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2769436252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

2810 Ashley Phosphate Rd
Suite B 11
Charleston, SC 29425-0001
Phone (843) 792-1414

29 Bee St
2ND Floor
Charleston, SC 29425-0001
Phone (843) 792-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Feb 13, 2001 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Waccamaw Community Hospital CurrentSince Jul 1, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol Cardiovascular Disease Current Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

1014 Huger Dr
Georgetown, SC 29440
Phone (843) 652-8390

1300 Hospital Dr
Ste 210
Mt Pleasant, SC 29464
Phone (803) 884-2477

4040 Highway 17
Unit 202
Murrells Inlet, SC 29576
Phone (843) 652-8390

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2200 Crow Ln
Ste 303A
Myrtle Beach, SC 29577
Phone (843) 848-5310

9653 Ocean Hwy
Pawleys Island, SC 29585

Interoperability endpoints

  • Direct secure messaging: vfernandes6467@direct.musc.edu

Organizations & group practices 7

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 6

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1912015967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "VALERIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "22866",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "22866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228667",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.