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RAUL ALEJANDRO FERNANDEZ D.O.
NPI 1699214411
Internal Medicine - Critical Care Medicine in Miami, FL

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
1100 NW 95TH ST, MIAMI, FL 33150(305) 928-7249(305) 630-3632 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, May 6, 2024, Feb 13, 2017 (3 updates tracked since 2017).

About Raul Alejandro Fernandez D.o. NPPES

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

RAUL ALEJANDRO FERNANDEZ D.O. (NPI 1699214411) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (OS15902) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699214411
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRAUL ALEJANDRO FERNANDEZCredential: D.O.
Location Address1100 NW 95TH STMiami, FL 33150-2038
Mailing Address2639 W 72nd StHialeah, FL 33016-5438 · (305) 335-0041
Phone(305) 928-7249
Fax(305) 630-3632
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateFebruary 13, 2017
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1699214411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · OS15902
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS15902 (FL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License OS15902 (FL)
1100 NW 95TH ST, Miami, FL 33150
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Secondary Practice Locations 2

Location 13100 S Douglas RdCoral Gables, FL 33134-6923 · Phone (305) 928-7249 · Fax (305) 630-3632
Location 25000 W Oakland Park BlvdLauderdale Lakes, FL 33313-1585 · Phone (305) 928-7249 · Fax (305) 630-3632

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Raul Alejandro 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 ID2466594999
PECOS Enrollment IDI20210810004239
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
144 services29 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
121 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33150 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

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.

DR. LORI BETH SCHMERLING D.O.
Emergency Medicine
1100 NW 95TH ST
MIAMI, FL 33150
Miami-Dade County (305) 835-6000
DR. JOSEPH GOMES DO
Emergency Medicine
1100 NW 95TH ST, EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA
MIAMI, FL 33150
Miami-Dade County (305) 835-6191
JENNY IVETTE MORALES-SOTOMAYOR CRNA
Nurse Anesthetist, Certified Registered
1100 NW 95TH ST
MIAMI, FL 33150
Miami-Dade County (787) 662-5032
MADALYN SARAFZADEH
Occupational Therapist
1100 NW 95TH ST
MIAMI, FL 33150
Miami-Dade County (281) 948-6875
ANDREW AKERMAN M.D.
Radiology (Diagnostic Radiology)
1100 NW 95TH ST
MIAMI, FL 33150
Miami-Dade County (305) 835-6157
DR. ANTONY FRIEDMAN MD
Emergency Medicine
1100 NW 95TH ST
MIAMI, FL 33150
Miami-Dade County (305) 835-6191
MARIE AHRENDTS PA
Physician Assistant
1100 NW 95TH ST, EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA
MIAMI, FL 33150
Miami-Dade County (305) 835-6191
SHERIDAN RADIOLOGY SERVICES OF VIRGINIA, INC
Radiology (Diagnostic Radiology)
1100 NW 95TH ST
MIAMI, FL 33150
Miami-Dade County (305) 835-6000

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 Raul Fernandez's NPI number?

The NPI number for Raul Fernandez is 1699214411. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Raul Fernandez located?

Raul Fernandez practices at 1100 NW 95th St, Miami, FL 33150. The listed phone number is (305) 928-7249.

What is Raul Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Raul Fernandez enrolled in Medicare?

Yes. Raul 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.

What insurance does Raul Fernandez accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Raul 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 Raul Fernandez affiliated with any hospitals?

According to CMS data, Raul Fernandez is affiliated with Steward North Shore Medical Center and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Raul Fernandez was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.