ANGELITO FERNANDEZ
NPI 1700966116
Family Medicine in Pontiac, IL

Q: What is Angelito Fernandez's NPI number?

The NPI number for Angelito Fernandez is 1700966116. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Angelito Fernandez's specialty?

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

Active since October 17, 2006PECOS Enrolled

1506 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-6123(815) 884-7851 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angelito Fernandez NPPES

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

ANGELITO FERNANDEZ (NPI 1700966116) is an individual family medicine provider in Pontiac, Illinois, licensed in Illinois (036-053418) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700966116

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANGELITO FERNANDEZ

Location Address1506 W REYNOLDS STPontiac, IL 61764

Mailing Address1506 W Reynolds StPontiac, IL 61764 · (815) 844-6123 · Fax (815) 884-7851

Phone(815) 844-6123

Fax(815) 884-7851

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateMarch 1, 2011

✔ NPI 1700966116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036-053418

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.

1506 W REYNOLDS ST, Pontiac, IL 61764

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Other Identifiers 7

Medicare UPIND13030

Medicare ID-Type Unspecified080066350IL · Rr Individual #

Medicaid036053418IL

Medicare ID-Type UnspecifiedCA2182IL · Rr Group #

Medicare ID-Type UnspecifiedL36621IL · Individual #

Medicare ID-Type Unspecified080066343IL · Rr Individual #

Medicare ID-Type Unspecified833220IL · 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)

Angelito Fernandez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOM MURPHY

Family Medicine