Justin G Fernandez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-38332 Issued in KS

Practice address

1124 W 21St St
Andover, KS 67002-5500

Phone

(316) 300-4000

Fax

(316) 300-4040

NPI assigned

Jun 6, 2012

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians

Hutchinson Regional Medical Center IncGroup PAC ID 0648181198, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197
• Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020
• Southwest Medical Center Hospital, Liberal, KS, CCN 170068
• Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006

Merit-based Incentive Payment System (MIPS)

Final score

79.33 of 100Reported as group

Quality

59.78

Promoting interoperability

97

Improvement activities

40

Cost

73.83

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285
  Medicare reassignment Care Compare group NPD
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Medicare reassignment Care Compare group NPD
• Vigilias LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1407242241
  Medicare reassignment NPD
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Medicare reassignment NPD
• Hutchinson Regional Medical Center, Inc.

  • Infectious Disease Physician
  • Hutchinson, KS
  • NPI 1255984456
  NPD
• Hutchinson Regional Medical Center, Inc.

  dba Hutchinson Regional Physician Network

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525
  NPD
• Kansas Medical Center, LLC

  dba KMC Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Andover, KS
  • NPI 1801007786
  NPD
• Kansas Medical Center, LLC

  dba Andover Anesthesia Care Specialists

  • Anesthesiology Physician
  • Andover, KS
  • NPI 1952512832
  NPD
• Kansas Medical Center, LLC

  dba Andover Cardiology

  • Cardiovascular Disease Physician
  • Andover, KS
  • NPI 1952585341
  NPD
• William Newton Memorial Hospital

  dba Udall Rural Health Clinic

  • Multi-Specialty Clinic/Center
  • Udall, KS
  • NPI 1720736663
  NPD
• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  Care Compare affiliation
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation
• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation
• Integris Health Ponca City Hospital Inc

  dba Integris Health Ponca City Hospital

  • General Acute Care Hospital
  • Ponca City, OK
  • NPI 1548047616
  Care Compare affiliation

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1992066864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "316-300-4000",
            "fax_number": "316-300-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "316-300-4000",
            "fax_number": "316-300-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "620-275-9752",
            "fax_number": "620-275-4306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-2250",
            "fax_number": "620-798-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JUSTIN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9407852",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-38332",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-38332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Ann Ewing, PA-C
• Family Physicians of Kansas L.L.C.
• Mary E Faragher, ARNP
• Farney Chiropractic Clinic
• Terry Louis Farney, D.C.
• Robert H. Fleming, MD
• Flexible Nutrition LLC
• Flint Hills Orthopaedics PA
• David L. Foley, DDS
• Danielle Leigh Forbes, TLMLP

• Internal Medicine Physician in Andover, KS
• Providers in Andover, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.