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ENRIQUE C FERNANDEZ MD
NPI 1528040086
Family Medicine in Miami, FL

Active since November 18, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1019928 · Waiver
11760 BIRD RD, SUITE 502, MIAMI, FL 33175(305) 559-9732(305) 559-9277 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Enrique C Fernandez Md NPPES

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

ENRIQUE C FERNANDEZ MD (NPI 1528040086) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME87802) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 3, 2027, and is affiliated with Hca Florida Kendall Hospital.

NPPES Registry Identity

NPI1528040086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameENRIQUE C FERNANDEZCredential: MD
Location Address11760 BIRD RD, SUITE 502Miami, FL 33175
Mailing AddressPo Box 55 8642Miami, FL 33255-0218 · (305) 559-9732 · Fax (305) 559-9277
Phone(305) 559-9732
Fax(305) 559-9277
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 18, 2005
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1528040086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME87802
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.
11760 BIRD RD, Miami, FL 33175
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Other Identifiers 2

Medicare UPINH74736
Medicare PIN71198ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.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

Enrique C 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 ID3971495169
PECOS Enrollment IDI20040326000287
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1019928

Enrique C Fernandez MD PA · Miami, FL
Active · expires Dec 3, 2027
CLIA Number10D1019928
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorEnrique C. Fernandez
Laboratory Phone(305) 559-9732
Laboratory LocationEnrique C Fernandez MD PA11760 SW Bird Rd Ste 741, Miami, FL 33175
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
258 services144 patients
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.
170 services111 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.
106 services76 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.
89 services65 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.
66 services66 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
56 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers36 claims72 services$0.44 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers125 claims470 services$6.83 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers85 claims85 services$2.87 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers24 claims24 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers102 claims205 services$1.20 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims560 services$1.84 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.

FXM RESEARCH INTERNATIONAL, INC
Clinic/Center (Research)
11760 BIRD RD, SUITE 452
MIAMI, FL 33175
Miami-Dade County (305) 220-5222
BERNARDO R GARCIA-GRANDA MD PA
Psychiatry & Neurology (Psychiatry)
11760 BIRD RD, SUITE 539
MIAMI, FL 33175
Miami-Dade County (305) 228-6200
WALTER RAMIREZ MD PA
Internal Medicine (Interventional Cardiology)
11760 BIRD RD, SUITE 622A
MIAMI, FL 33175
Miami-Dade County (305) 559-9860
GASTROINTESTINAL SPECIALISTS OF MIAMI INC
Internal Medicine (Gastroenterology)
11760 BIRD RD, SUITE 642
MIAMI, FL 33175
Miami-Dade County (305) 223-5858
MR. ERIC W BUSSEAR P.A.
Physician Assistant
11760 BIRD RD, SUITE 451
MIAMI, FL 33175
Miami-Dade County (305) 227-9233
PABLO J ACEBAL MD PA
Preferred Provider Organization
11760 BIRD RD, 606
MIAMI, FL 33175
Miami-Dade County (305) 273-3355
DR. LEONCIO V GONZALEZ OD
Optometrist
11760 BIRD RD, SUITE 101
MIAMI, FL 33175
Miami-Dade County (305) 220-8333
YANETTE BARCELO PA
Physician Assistant
11760 BIRD RD, SUITE 451
MIAMI, FL 33175
Miami-Dade County (305) 227-9233

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 Enrique Fernandez's NPI number?

The NPI number for Enrique Fernandez is 1528040086. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Enrique Fernandez located?

Enrique Fernandez practices at 11760 Bird Rd Suite 502, Miami, FL 33175. The listed phone number is (305) 559-9732.

What is Enrique Fernandez's specialty?

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

Is Enrique Fernandez enrolled in Medicare?

Yes. Enrique 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.

Does Enrique Fernandez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1019928) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Enrique Fernandez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Enrique 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 Enrique Fernandez affiliated with any hospitals?

According to CMS data, Enrique Fernandez is affiliated with Hca Florida Kendall Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Enrique Fernandez was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.