NPIMap

Individual provider Active NPI

Luis F Fernandez, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1932190394
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME56435 Issued in FL
Practice address
2400 Harbor Blvd
Ste 5
Port Charlotte, FL 33952-5052
Phone
(941) 764-7999
Fax
(941) 764-7039
NPI assigned
Nov 3, 2005
Last updated
May 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME56435 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Ste 5
Port Charlotte, FL 33952-5052

Mailing address

PO Box 495477
Port Charlotte, FL 33949-5477
Phone (941) 764-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040129001145 FL Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4789587494 Reassigns benefits to 1 organization
Practice locations: Port Charlotte, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3005 Caring Way
Suite 3
Port Charlotte, FL 33952-5304
Phone (941) 764-7999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luis F Fernandez MD PA Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Janet M Tobin MD PA Past Accepting new patients
William R Salazar MD Chartered Internal Medicine Past Accepting new patients
Luis Fernandez, MD PastSince Jan 1, 1990 Accepting new patients

Locations

3005 Caring Way
Ste 3
Port Charlotte, FL 33952
Phone (863) 417-7117

2400 Harbor Blvd
Ste 5
Pt Charlotte, FL 33952
Phone (941) 764-7999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3789/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHHBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHHBBD/Endpoint/FHHBBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1932190394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495477",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495477",
            "telephone_number": "941-764-7999",
            "fax_number": "941-764-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-764-7999",
            "fax_number": "941-764-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.