ISMAEL CANDELARIO FERNANDEZ
NPI 1326853029
Physician Assistant in Louisville, KY

Active since February 10, 2025PECOS EnrolledAccepts Medicare Assignment
120 EXECUTIVE PARK, LOUISVILLE, KY 40207(502) 855-7200(502) 855-7201 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ismael Candelario Fernandez NPPES

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

ISMAEL CANDELARIO FERNANDEZ (NPI 1326853029) is an individual physician assistant in Louisville, Kentucky and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1326853029
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameISMAEL CANDELARIO FERNANDEZ
Location Address120 EXECUTIVE PARKLouisville, KY 40207-4201
Mailing Address513 Willowhurst PlLouisville, KY 40223-3361 · (602) 743-1607
Fax(502) 855-7201
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 10, 2025
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1326853029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

120 EXECUTIVE PARK, Louisville, KY 40207

Secondary Practice Location 1

Location 1513 Willowhurst PlLouisville, KY 40223-3361 · Phone (602) 743-1607

Other Identifiers 1

Medicaid7101082600KY

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

Ismael Candelario Fernandez 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 ID2769984210
PECOS Enrollment IDI20250904004596
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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Anesthesiology
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Anesthesiology (Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Pain Medicine (Interventional Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207

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 Ismael Candelario Fernandez's NPI number?

The NPI number for Ismael Candelario Fernandez is 1326853029. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Ismael Candelario Fernandez located?

Ismael Candelario Fernandez practices at 120 Executive Park, Louisville, KY 40207. The listed phone number is (502) 855-7200.

What is Ismael Candelario Fernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ismael Candelario Fernandez enrolled in Medicare?

Yes. Ismael Candelario 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.

Is Ismael Candelario Fernandez affiliated with any hospitals?

According to CMS data, Ismael Candelario Fernandez is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Ismael Candelario Fernandez was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.