Justin G Fernandez, MD
Individual provider Active NPI Internal Medicine Physician · Andover, KS
NPI 1992066864 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1992066864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 04-38332 (KS)
- Practice address
- 1124 W 21St St
Andover, KS 67002-5500 - Phone
- (316) 300-4000
- Fax
- (316) 300-4040
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas Medical Center LLC
Hutchinson Regional Medical Center Inc
Practice addresses (Care Compare)
1124 W 21St St
KMC Physicians
Andover, KS 67002-5500
Phone (316) 300-4000
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Hospital & facility affiliations
- Kansas Medical Center LLC
- Hutchinson Regional Medical Center Inc
- Southwest Medical Center
- Integris Health Ponca City
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.33 of 100
- Quality
- 59.78
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 73.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150819009462 | KS | Practitioner - Internal Medicine | 1254581275 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9407852 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Regional Medical Center, Inc. | Hospitalist | Current | Accepting new patients |
| William Newton Memorial Hospital | Current |
Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| William Newton Memorial Hospital | Current |
Accepting new patients | |
| Kansas Medical Center, LLC | Current | Accepting new patients | |
| Kansas Medical Center LLC | Current | Accepting new patients | |
| Vigilias LLC | Internal Medicine | Current |
Accepting new patients |
| Kansas Medical Center, LLC | Current |
Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250
1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917
4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9407852 | KS | |
| Hospitalist Physician | 208M00000X | 04-38332 | KS | |
| Internal Medicine Physician | 207R00000X | 04-38332 | KS | Yes |
Addresses
Primary practice location
1124 W 21St St
Andover, KS 67002-5500
Mailing address
1124 W 21St St
Andover, KS 67002-5500
Phone (316) 300-4000
Other practice location 1
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 275-9752
Other practice location 2
1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2250
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scc-direct@mcpmedsurg.hin.us |
Other providers in Andover, KS
- Rachel Ann Ewing
- Family Physicians of Kansas L.L.C.
- Mary E Faragher
- Farney Chiropractic Clinic
- Terry Louis Farney
- Robert H. Fleming
- Flexible Nutrition LLC
- Flint Hills Orthopaedics PA
- David L. Foley
- Danielle Leigh Forbes
All providers in Andover, KS · Internal Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.