EDGAR SERGE FERNANDEZ M.D.
NPI 1205368701
Internal Medicine - Infectious Disease in Orlando, FL

Q: What is Edgar Fernandez's NPI number?

The NPI number for Edgar Fernandez is 1205368701. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Edgar Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Fernandez was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 03, 2017PECOS Enrolled

97.62/100

CMS Quality Rating

1012 LUCERNE TER, ORLANDO, FL 32806(407) 423-1039(407) 425-2347 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2025, Mar 17, 2025, Jul 29, 2024 and 4 more (7 updates tracked since 2020).

On this page

About Edgar Serge Fernandez M.d. NPPES

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

EDGAR SERGE FERNANDEZ M.D. (NPI 1205368701) is an individual infectious disease provider in Orlando, Florida, licensed in Florida (ME143670) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1205368701

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameEDGAR SERGE FERNANDEZCredential: M.D.

Location Address1012 LUCERNE TEROrlando, FL 32806-1015

Mailing Address1012 Lucerne TerOrlando, FL 32806-1015 · (407) 423-1039 · Fax (407) 425-2347

Phone(407) 423-1039

Fax(407) 425-2347

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 3, 2017

Last NPPES UpdateMay 16, 20257 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1205368701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in FL · ME143670✔ Licensed in AZ · 72796✔ Licensed in WI · 84410-20✔ Licensed in MN · 3008

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME143670 (FL)

1012 LUCERNE TER, Orlando, FL 32806

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Secondary Practice Locations 9

Location 12623 South Seacrest Blvd., Suite 100, FAU Medicine at Bethesda Hospital EastBoyton Beach, FL 33435 · Phone (561) 735-6553 · Fax (561) 735-6553

Location 21600 NW 10th Ave # 1140Miami, FL 33136-1015 · Phone (305) 585-8453

Location 37800 SW 87th Ave Ste B260Miami, FL 33173-3570 · Phone (305) 595-4590 · Fax (305) 279-2278

Location 410414 N Miami AveMiami Shores, FL 33150-1256 · Phone (305) 776-8824

Location 54308 Alton Rd Ste 870Miami Beach, FL 33140-4560 · Phone (305) 538-1400 · Fax (888) 972-9651

Location 61650 4th St SERochester, MN 55904-4717 · Phone (303) 390-1940

Location 7520 Rose LnWickenburg, AZ 85390-1447 · Phone (303) 390-1940

Location 81900 Sunrise DrSaint Peter, MN 56082-5376 · Phone (303) 390-1940

Location 9333 E 2nd StRichland Center, WI 53581-1914 · Phone (608) 647-6321

Other Identifiers 2

OtherME143670FL · State License

Medicaid109063800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Edgar Serge Fernandez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759668031

PECOS Enrollment IDI20210111001246

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

Medicare enrollment records show Edgar Fernandez reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc

0.3 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

Aids Healthcare Foundation

2.8 mi

Clinic/Center

1701 N MILLS AVE STE 2
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
71 clinicians in this Medicare group

NPI 1366914301 (407) 625-8434

Solutions Medical Specialists LLC

14 mi

Infectious Disease

525 TECHNOLOGY PARK, SUITE 109
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
17 clinicians in this Medicare group

NPI 1477397875 (407) 647-2346

Florida Hospital Medicine Services, LLC.

153 mi

Hospitalist

21644 STATE ROAD 7
Boca Raton, FL 33428

Reassigned Medicare billing, Florida enrollment
516 clinicians in this Medicare group

NPI 1508873183 (561) 488-8000

Northeast Florida Hospitalists Inc

163 mi

Hospitalist

5352 LINTON BLVD
Delray Beach, FL 33484

Reassigned Medicare billing, Florida enrollment
140 clinicians in this Medicare group

NPI 1013036219 (561) 498-4440

Infectious Disease Physicians PA

205 mi

Infectious Disease

7800 SW 87TH AVE, B260
Miami, FL 33173

Reassigned Medicare billing, Florida enrollment
14 clinicians in this Medicare group

NPI 1922045400 (305) 595-4590

Rural Physicians Group-Pannu PLLC

1,543 mi

Hospitalist

5575 DTC PKWY STE 225
Greenwood Village, CO 80111

Reassigned Medicare billing, Wisconsin enrollment
64 clinicians in this Medicare group

NPI 1891236584 (303) 390-1924

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 3

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 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.

135 services37 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

79 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

47 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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.

97.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.52

Improvement Activities

Cost

79.38

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.

NAFEES ZEHRA HUSSAIN FNP

Nurse Practitioner (Adult Health)

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (407) 423-1039

ROXANA FERRERA ARNP

Nurse Practitioner

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (407) 423-1039

ANTONIO CRESPO MD

Internal Medicine (Infectious Disease)

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (407) 423-1039

EDGAR HERRERA SANCHEZ M.D.

Internal Medicine (Infectious Disease)

1012 LUCERNE TER, MP 803
ORLANDO, FL 32806

Orange County (407) 423-1039

CHRISTIAN DONATO SANTANA M.D.

Internal Medicine (Infectious Disease)

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (407) 423-1039

IVY KIM LONG PHAN APRN

Nurse Practitioner (Adult Health)

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (407) 423-1039

DIANA M. SALAZAR M.D.

Internal Medicine (Infectious Disease)

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (321) 841-7750

ORLANDO HEALTH MEDICAL GROUP INC

Internal Medicine (Infectious Disease)

1012 LUCERNE TER
ORLANDO, FL 32806

Orange County (407) 423-1039

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 Edgar Fernandez's NPI number?

The NPI number for Edgar Fernandez is 1205368701. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Edgar Fernandez located?

Edgar Fernandez practices at 1012 Lucerne Ter, Orlando, FL 32806. The listed phone number is (407) 423-1039.

What is Edgar Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Edgar Fernandez enrolled in Medicare?

Yes. Edgar Fernandez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edgar Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Fernandez reassigns Medicare benefits to 7 organizations: Orlando Health Medical Group Inc (Orlando, FL), Aids Healthcare Foundation (Orlando, FL), Solutions Medical Specialists LLC (Lake Mary, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL), Northeast Florida Hospitalists Inc (Delray Beach, FL) and 2 more organizations, 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 Edgar Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Fernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 9 other insurers list Edgar 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.

Is Edgar Fernandez affiliated with any hospitals?

According to CMS data, Edgar Fernandez is affiliated with Orlando Health, Adventhealth Orlando and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Fernandez was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.