Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GLEN MICHAEL FERNANDES MD
NPI 1396601480
Anesthesiology in Bronx, NY

Q: What is Glen Fernandes's NPI number?

The NPI number for Glen Fernandes is 1396601480. It was assigned to this individual provider in the NPPES registry on January 1, 2026.

Q: What is Glen Fernandes's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Fernandes was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 January 01, 2026PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Jan 1, 2026 (2 updates tracked since 2026).

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About Dr. Glen Michael Fernandes Md NPPES

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

DR. GLEN MICHAEL FERNANDES MD (NPI 1396601480) is an individual anesthesiology provider in Bronx, New York, licensed in New York (340466) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396601480

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. GLEN MICHAEL FERNANDESCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321

Phone(718) 920-4321

Sole ProprietorYes

Enumeration DateJanuary 1, 2026

Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration

NPPES CertifiedNovember 6, 2026

✔ NPI 1396601480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in NY · 340466

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 E 210TH ST, Bronx, NY 10467

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glen Michael Fernandes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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