DR. EMILIO FENTANES M.D.
NPI 1093009276
Internal Medicine - Cardiovascular Disease in Fort Sam Houston, TX

Active since June 05, 2011PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 539-8414 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2025, Jun 16, 2025, May 28, 2025 and 6 more (9 updates tracked since 2018).

About Dr. Emilio Fentanes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILIO FENTANES M.D. (NPI 1093009276) is an individual cardiovascular disease provider in Fort Sam Houston, Texas, licensed in Hawaii (MD17066) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093009276
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. EMILIO FENTANESCredential: M.D.
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing AddressPo Box 932163Cleveland, OH 44193-0008 · (610) 477-6147 · Fax (302) 440-5532
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 5, 2011
Last NPPES UpdateDecember 10, 20259 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1093009276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in HI · MD17066
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 315357 (NY)
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Secondary Practice Locations 2

Location 11 MEDICAL VILLAGE DREDGEWOOD, KY 41017-3403 · Phone (859) 301-2160 · Fax (859) 341-4845
Location 21100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 916-9335

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emilio Fentanes M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012270911
PECOS Enrollment IDI20240206000631, I20250328001995, I20250423000219
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Emilio Fentanes reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5701 W 119TH ST STE 430
Overland Park, KS 66209
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 74 clinicians in this Medicare group
Diagnostic Radiology
1 MEDICAL VILLAGE DR
Edgewood, KY 41017
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
24040 S TAMIAMI TRL
Bonita Springs, FL 34134
  • Reassigned Medicare billing, Florida enrollment
  • 191 clinicians in this Medicare group
Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
Clinic/Center
270 LAWRENCE AVE.
Inwood, NY 11096
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Nassau Health Care Corporation
  • 553 clinicians in this Medicare group
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emilio Fentanes's NPI number?

The NPI number for Emilio Fentanes is 1093009276. It was assigned to this individual provider in the NPPES registry on June 5, 2011.

Where is Emilio Fentanes located?

Emilio Fentanes practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-8414.

What is Emilio Fentanes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Emilio Fentanes enrolled in Medicare?

Yes. Emilio Fentanes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Emilio Fentanes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilio Fentanes reassigns Medicare benefits to 6 organizations: Midwest Heart & Vascular Specialists, LLC (Overland Park, KS), Radiology Associates Of Northern Kentucky, PLLC (Edgewood, KY), Proscan Nch Imaging LLC (Bonita Springs, FL), University Of Utah Adult Services (Sandy, UT), Inwood Community Health Center (Inwood, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emilio Fentanes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emilio Fentanes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 4 other insurers list Emilio Fentanes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Emilio Fentanes affiliated with any hospitals?

According to CMS data, Emilio Fentanes is affiliated with Overland Park Reg Med Ctr, Menorah Medical Center, St Elizabeth Edgewood, Research Medical Center and Centerpoint Medical Center.

When was this NPI record last updated?

The NPPES record for Emilio Fentanes was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.