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DR. RICHARD L FERNANDEZ MD
NPI 1235110057
Internal Medicine in Miami, FL

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
9210 SW 72ND ST, STE 100, MIAMI, FL 33173(305) 595-6202(305) 595-6201 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard L Fernandez Md NPPES

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

DR. RICHARD L FERNANDEZ MD (NPI 1235110057) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME0053192) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1235110057
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD L FERNANDEZCredential: MD
Location Address9210 SW 72ND ST, STE 100Miami, FL 33173-3274
Mailing Address9210 Sw 72nd St, Ste 100Miami, FL 33173-3274 · (305) 595-6202 · Fax (305) 595-6201
Phone(305) 595-6202
Fax(305) 595-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 9, 2005
Last NPPES UpdateMarch 12, 2008
✔ NPI 1235110057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0053192
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9210 SW 72ND ST, Miami, FL 33173
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Other Identifiers 2

Medicare UPIND51860FL
Medicare PIN07127MFL

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), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard L 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 ID6709877152
PECOS Enrollment IDI20040524000430
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.

Areas of Expertise CMS Part B claims 4

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.
79 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
33 services29 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims39 services$6.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. PEDRO ALBITE MD
Internal Medicine
9210 SW 72ND ST, STE 100
MIAMI, FL 33173
Miami-Dade County (305) 595-6202
MS. OKSANA DEL VALLE ZELENENKO DMD
Dentist
9210 SW 72ND ST
MIAMI, FL 33173
Miami-Dade County (305) 275-0500
DR. ALBA TERESA MARTINEZ M.D.
Obstetrics & Gynecology
9210 SW 72ND ST, SUITE 101
MIAMI, FL 33173
Miami-Dade County (305) 595-1000
ALBITE & FERNANDEZ MD PA
Internal Medicine
9210 SW 72ND ST, STE 100
MIAMI, FL 33173
Miami-Dade County (305) 595-6202
JORGE A RODRIGUEZ MARTELL M.D.
General Practice
9210 SW 72ND ST, SUITE 100
MIAMI, FL 33173
Miami-Dade County (305) 595-6202

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 Richard Fernandez's NPI number?

The NPI number for Richard Fernandez is 1235110057. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Richard Fernandez located?

Richard Fernandez practices at 9210 SW 72nd St Ste 100, Miami, FL 33173. The listed phone number is (305) 595-6202.

What is Richard Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Fernandez enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Fernandez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Richard 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 Richard Fernandez was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.