1. Home
  2. Directory
  3. Pennsylvania
  4. Scranton
  5. Pediatrics
  6. NPI Profile

DR. LUIS FERNANDEZ DE LA FUENTE M.D.
NPI 1629271580
Pediatrics - Neonatal-Perinatal Medicine in Scranton, PA

Active since June 07, 2007PECOS Enrolled
700 QUINCY AVE, 5TH FL, SCRANTON, PA 18510(570) 340-2552(570) 340-2446 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Luis Fernandez De La Fuente M.d. NPPES

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

DR. LUIS FERNANDEZ DE LA FUENTE M.D. (NPI 1629271580) is an individual neonatal-perinatal medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD071376L) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629271580
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. LUIS FERNANDEZ DE LA FUENTECredential: M.D.
Location Address700 QUINCY AVE, 5TH FLScranton, PA 18510-1798
Mailing Address700 Quincy Ave, 5th FlScranton, PA 18510-1798 · (570) 770-7546 · Fax (570) 770-7545
Phone(570) 340-2552
Fax(570) 340-2446
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateAugust 20, 2013
✔ NPI 1629271580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · MD071376L
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
700 QUINCY AVE, Scranton, PA 18510
Open in Google Maps ↗

Other Identifiers 1

Medicaid001845744PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis Fernandez De La Fuente M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Luis De La Fuente reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic
0.4 mi
Family Medicine
1140 QUINCY AVE
Dunmore, PA 18510
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1821405408 (570) 983-0360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NALINI G KAKIMALLAIAH M.D.
Internal Medicine
700 QUINCY AVE, HOSPITALIST OFFICE
SCRANTON, PA 18510
Lackawanna County (866) 519-0457
FOUZIA OZA M.D.
Internal Medicine (Gastroenterology)
700 QUINCY AVE
SCRANTON, PA 18510
Lackawanna County (570) 770-5000
MRS. CAROL PACIFICO
Physical Therapist
700 QUINCY AVE
SCRANTON, PA 18510
Lackawanna County (570) 770-5365
ALEXANDER KERIS CRNA
Nurse Anesthetist, Certified Registered
700 QUINCY AVE
SCRANTON, PA 18510
Lackawanna County (570) 340-2977
BARBARA PENETAR DO
Anesthesiology
700 QUINCY AVE
SCRANTON, PA 18510
Lackawanna County (570) 346-7797
JAMIE S STALLMAN MD
Radiology (Diagnostic Radiology)
700 QUINCY AVE
SCRANTON, PA 18510
Lackawanna County (570) 307-4225
CHAMPAK M DEDHIA M.D.
Radiology (Diagnostic Radiology)
700 QUINCY AVE
SCRANTON, PA 18510
Lackawanna County (570) 307-4225
ABBEY M OATMAN
Physician Assistant
700 QUINCY AVE, ED
SCRANTON, PA 18510
Lackawanna County (570) 340-2100

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 Luis De La Fuente's NPI number?

The NPI number for Luis De La Fuente is 1629271580. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Luis De La Fuente located?

Luis De La Fuente practices at 700 Quincy Ave 5th Fl, Scranton, PA 18510. The listed phone number is (570) 340-2552.

What is Luis De La Fuente's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Luis De La Fuente enrolled in Medicare?

Yes. Luis De La Fuente is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis De La Fuente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis De La Fuente reassigns Medicare benefits to Geisinger Clinic (Dunmore, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis De La Fuente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luis De La Fuente was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.