Individual provider Active NPI

Noel De Jesus Fernandez, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1972656247
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89477 Issued in FL
Practice address
1975 W 76TH St
Hialeah, FL 33014-3269
Phone
(786) 703-1535
Fax
(305) 397-2725
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 ME89477 FL Primary

Addresses

Primary practice location

1975 W 76TH St
Hialeah, FL 33014-3269

Mailing address

1975 W 76TH St
Hialeah, FL 33014-3269
Phone (786) 703-1535

Other practice location 1

6738 W Sunrise Blvd
Plantation, FL 33313-6070
Phone (954) 530-5835

Other identifiers 2

IdentifierTypeStateIssuer
50044OtherFLMEDICARE PTAN
272344100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041209000359 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 0143133637 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Noel de Jesus Fernandez MD PA Internal Medicine Current Accepting new patients

Locations

1975 W 76th St
Hialeah, FL 33014
Phone (786) 703-1535

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6738 W Sunrise Blvd
Ste 102
Plantation, FL 33313
Phone (954) 530-5835

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 3

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1972656247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143269",
            "telephone_number": "786-703-1535",
            "fax_number": "305-397-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143269",
            "telephone_number": "786-703-1535",
            "fax_number": "305-397-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6738 W Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333136070",
            "country_code": "US",
            "telephone_number": "954-530-5835",
            "fax_number": "954-337-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "NOEL",
        "middle_name": "DE JESUS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "50044",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272344100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.