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DR. THILAN P.J. FERNANDO M.D.
NPI 1316146632
Family Medicine in Downey, CA

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
11480 BROOKSHIRE AVE, SUITE #204, DOWNEY, CA 90241(562) 282-2775(562) 904-8095 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thilan P.j. Fernando M.d. NPPES

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

DR. THILAN P.J. FERNANDO M.D. (NPI 1316146632) is an individual family medicine provider in Downey, California, licensed in California (A97365) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2005).

NPPES Registry Identity

NPI1316146632
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THILAN P.J. FERNANDOCredential: M.D.
Location Address11480 BROOKSHIRE AVE, SUITE #204Downey, CA 90241-5018
Mailing Address75 Remittance Drive Dept 6008Chicago, IL 60675-6008 · (562) 282-1419 · Fax (562) 920-1446
Phone(562) 282-2775
Fax(562) 904-8095
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2005
Enumeration DateJuly 16, 2007
Last NPPES UpdateJune 2, 2016
✔ NPI 1316146632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A97365
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11480 BROOKSHIRE AVE, Downey, CA 90241
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Other Identifiers 2

Medicare PINAQ691ZCA
Medicaid00A973650CA

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. Thilan P.j. Fernando 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 ID2062570781
PECOS Enrollment IDI20081024000451
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 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.
171 services96 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.
88 services68 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.
25 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

Referred Medical Equipment & Supplies CMS DME claims 2

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
12 suppliers30 claims78 services$5.69 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$180.65 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.

DR. VINOD D PATEL M.D.
Internal Medicine
11480 BROOKSHIRE AVE, SUITE #204
DOWNEY, CA 90241
Los Angeles County (562) 862-2775
FRISCHER MEDICAL GROUP
Internal Medicine (Gastroenterology)
11480 BROOKSHIRE AVE, 200
DOWNEY, CA 90241
Los Angeles County (562) 806-0874
THE ONCOLOGY INSTITUTE OF HOPE AND INNOVATION
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Los Angeles County (562) 869-1201
DR. MICHAEL SHAOYI FANG M.D.
Internal Medicine (Nephrology)
11480 BROOKSHIRE AVE, STE 302
DOWNEY, CA 90241
Los Angeles County (626) 337-2265
LAUREN RAE GILLAN PA-C
Physician Assistant
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Los Angeles County (562) 869-1201
NEIL E KLEIN MD A MEDICAL CORPORATION
Surgery (Plastic and Reconstructive Surgery)
11480 BROOKSHIRE AVE, SUITE 306
DOWNEY, CA 90241
Los Angeles County (562) 861-8246
THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Los Angeles County (310) 945-8112
JANESSA JAMES CREADO NP
Nurse Practitioner (Family)
11480 BROOKSHIRE AVE, SUITE 308
DOWNEY, CA 90241
Los Angeles County (562) 862-3656

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 Thilan Fernando's NPI number?

The NPI number for Thilan Fernando is 1316146632. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Thilan Fernando located?

Thilan Fernando practices at 11480 Brookshire Ave Suite #204, Downey, CA 90241. The listed phone number is (562) 282-2775.

What is Thilan Fernando's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thilan Fernando enrolled in Medicare?

Yes. Thilan Fernando 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.

When was this NPI record last updated?

The NPPES record for Thilan Fernando was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.