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RAFAEL CRESPO FERNANDEZ MD
NPI 1194958603
General Practice in Hialeah, FL

Active since August 31, 2009PECOS EnrolledAccepts Medicare Assignment
777 E 25TH ST STE 320, HIALEAH, FL 33013(305) 302-0380 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2026, Oct 30, 2023, Mar 10, 2023 and 3 more (6 updates tracked since 2018).

About Rafael Crespo Fernandez Md NPPES

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

RAFAEL CRESPO FERNANDEZ MD (NPI 1194958603) is an individual general practice provider in Hialeah, Florida, licensed in Florida (ACN 613) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1194958603
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRAFAEL CRESPO FERNANDEZCredential: MD
Location Address777 E 25TH ST STE 320Hialeah, FL 33013-3849
Mailing Address860 Nw 42nd Ave, Fl 5Miami, FL 33126 · (305) 504-7885
Phone(305) 302-0380
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 31, 2009
Last NPPES UpdateMarch 16, 20266 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1194958603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN 613
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
777 E 25TH ST STE 320, Hialeah, FL 33013
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Other Identifiers 1

Medicaid130438900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.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

Rafael Crespo Fernandez Md 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 ID4789786724
PECOS Enrollment IDI20150605001898
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 Reassignment

Medicare enrollment records show Rafael Crespo Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Care Solutions For All LLC
13 mi
General Practice
14710 SW 39TH TER
Miami, FL 33185
  • Reassigned Medicare billing, Florida enrollment
NPI 1639044498 (305) 927-1939

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services19 patients

Other Providers at the Same Location NPPES

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

CRESPOMEDCARE LLC
General Practice
777 E 25TH ST STE 320
HIALEAH, FL 33013
Miami-Dade County (305) 302-0380

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 Rafael Crespo Fernandez's NPI number?

The NPI number for Rafael Crespo Fernandez is 1194958603. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Where is Rafael Crespo Fernandez located?

Rafael Crespo Fernandez practices at 777 E 25th St Ste 320, Hialeah, FL 33013. The listed phone number is (305) 302-0380.

What is Rafael Crespo Fernandez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rafael Crespo Fernandez enrolled in Medicare?

Yes. Rafael Crespo Fernandez 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 organization bills Medicare for Rafael Crespo Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Crespo Fernandez reassigns Medicare benefits to Health Care Solutions For All LLC (Miami, FL). The 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 Rafael Crespo Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Crespo Fernandez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Rafael Crespo Fernandez 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.

When was this NPI record last updated?

The NPPES record for Rafael Crespo Fernandez was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.