DR. CARLOS GUSTAVO FERNANDEZ D.O.
NPI 1356561484
Internal Medicine - Interventional Cardiology in Lansing, MI

Q: What is Carlos Fernandez's NPI number?

The NPI number for Carlos Fernandez is 1356561484. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Q: What is Carlos Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Fernandez was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 30, 2007PECOS EnrolledAccepts Medicare Assignment

1140 E MICHIGAN AVE STE 400, LANSING, MI 48912(517) 364-9650(517) 364-9605 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Carlos Gustavo Fernandez D.o. NPPES

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

DR. CARLOS GUSTAVO FERNANDEZ D.O. (NPI 1356561484) is an individual interventional cardiology provider in Lansing, Michigan, licensed in Michigan (5101016028) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Michigan State University College Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1356561484

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. CARLOS GUSTAVO FERNANDEZCredential: D.O.

Location Address1140 E MICHIGAN AVE STE 400Lansing, MI 48912-1806

Mailing AddressPo Box 13008Lansing, MI 48901-3008 · (517) 364-7999

Phone(517) 364-9650

Fax(517) 364-9605

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2004

Enumeration DateApril 30, 2007

Last NPPES UpdateApril 19, 2019

✔ NPI 1356561484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MI · 5101016028

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5101016028 (MI)

1140 E MICHIGAN AVE STE 400, Lansing, MI 48912

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Gustavo Fernandez D.o. 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 ID1355472796

PECOS Enrollment IDI20100628000965

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 Carlos Fernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward W. Sparrow Hospital Association

Same address

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1140 E MICHIGAN AVE STE 300
Lansing, MI 48912

Reassigned Medicare billing, Michigan enrollment
916 clinicians in this Medicare group

NPI 1033162326 (517) 364-5224

Sparrow Eaton Hospital

2.9 mi

School

509 BURCHAM DR STE 59
East Lansing, MI 48823

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1942254529 (Michigan)
137 clinicians in this Medicare group

NPI 1063227486 (517) 253-6320

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 20

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.

153 services120 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

97 services91 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

91 services76 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

83 services81 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

70 services70 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

60 services60 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

52 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

36 services36 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services29 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

28 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services18 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

20 services20 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

18 services18 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

17 services16 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

15 services13 patients

Complete ultrasound of artery and vein blood flow pre-op assessment on side of body for hemodialysis access 93986

This procedure involves using ultrasound technology to evaluate the blood flow in your arteries and veins prior to a hemodialysis access operation. It helps ensure the selected site is suitable for creating a reliable access for dialysis treatment.

15 services12 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

14 services14 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230121

Location826 West King StreetOwosso, MI 48867 · Shiawassee County

Emergency services Birthing friendly

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230208

Location406 East Elm StCarson City, MI 48811 · Montcalm County

Emergency services

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number231326

Location805 S OaklandSaint Johns, MI 48879 · Clinton County

Emergency services

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231327

Location321 E Harris StreetCharlotte, MI 48813 · Eaton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

JESSICA MARY DELCORVO NP-C

Nurse Practitioner (Primary Care)