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DR. ANTONIO FERNANDEZ MD
NPI 1255383832
Specialist in Miami Beach, FL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
4302 ALTON RD, SUITE 900, MIAMI BEACH, FL 33140(305) 534-4888(305) 675-2788 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Antonio Fernandez Md NPPES

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

DR. ANTONIO FERNANDEZ MD (NPI 1255383832) is an individual specialist in Miami Beach, Florida, licensed in Florida (ME55697) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1987).

NPPES Registry Identity

NPI1255383832
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ANTONIO FERNANDEZCredential: MD
Location Address4302 ALTON RD, SUITE 900Miami Beach, FL 33140-2891
Mailing Address4302 Alton Rd, Suite 900Miami Beach, FL 33140-2891 · (305) 534-4888 · Fax (305) 675-2788
Phone(305) 534-4888
Fax(305) 675-2788
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1987
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1255383832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME55697
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4302 ALTON RD, Miami Beach, FL 33140
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Other Identifiers 4

Other001132FL · Nhp
Medicare UPINE75882FL
Other09966FL · Bcbs
Medicare ID-Type Unspecified09966ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), 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. Antonio 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 ID4486665684
PECOS Enrollment IDI20060908000417
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 5

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.
285 services133 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
116 services52 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.
112 services112 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
101 services101 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$47.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$14.30 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers12 claims12 services$6.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$71.72 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 20

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

OUELLETTE GROUP PHYSICIANS FOR THE HAND
Orthopaedic Surgery (Hand Surgery)
4302 ALTON RD, SUITE 710
MIAMI BEACH, FL 33140
Miami-Dade County (786) 261-0222
DAVID COHN MD PA
Internal Medicine
4302 ALTON RD, SUITE 300
MIAMI BEACH, FL 33140
Miami-Dade County (305) 531-6600
DR. JOSE R TOLEDO M.D.
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 672-1256
INIEDDY RODRIGUEZ BORNOT
Nurse Practitioner (Acute Care)
4302 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (786) 584-5560
DR. DAVID L LIPKIN M.D.
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 672-1256
COMPREHENSIVE PRIMARY CARE
Internal Medicine
4302 ALTON RD, SUITE 900
MIAMI BEACH, FL 33140
Miami-Dade County (305) 534-4888
MEDICAL CENTER OF WINSTON TOWERS INC
Internal Medicine
4302 ALTON RD, SUITE 320
MIAMI BEACH, FL 33140
Miami-Dade County (305) 538-7344
IRVING JORGE MD
Surgery
4302 ALTON RD, SUITE 540
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2151

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 Antonio Fernandez's NPI number?

The NPI number for Antonio Fernandez is 1255383832. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Antonio Fernandez located?

Antonio Fernandez practices at 4302 Alton Rd Suite 900, Miami Beach, FL 33140. The listed phone number is (305) 534-4888.

What is Antonio Fernandez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Antonio Fernandez enrolled in Medicare?

Yes. Antonio 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 Antonio Fernandez accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list Antonio 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 Antonio Fernandez affiliated with any hospitals?

According to CMS data, Antonio Fernandez is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Antonio Fernandez was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.