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FREDERICO FERNANDEZ, MD. PC
NPI 1710110945
Internal Medicine in Fort Payne, AL

Active since September 04, 2009CLIA 01D0965593 · Waiver
2804 GREENHILL BLVD NW STE 101, FORT PAYNE, AL 35968(256) 845-0023(256) 845-0238 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Frederico Fernandez, Md. Pc NPPES

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

FREDERICO FERNANDEZ, MD. PC (NPI 1710110945) is a healthcare organization registered as an internal medicine in Fort Payne, Alabama and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Frederico Yambao Fernandez, President, as its authorized official.

NPPES Registry Identity

NPI1710110945
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFREDERICO FERNANDEZ, MD. PC
Location Address2804 GREENHILL BLVD NW STE 101Fort Payne, AL 35968-3067
Mailing Address2804 Greenhill Blvd Nw Ste 101Fort Payne, AL 35968-3067 · (256) 845-0023 · Fax (256) 845-0238
Phone(256) 845-0023
Fax(256) 845-0238
Organization SubpartNo
Authorized OfficialFrederico Yambao FernandezPresident · (256) 845-0023
Enumeration DateSeptember 4, 2009
✔ NPI 1710110945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.21001
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2804 GREENHILL BLVD NW STE 101, Fort Payne, AL 35968
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Other Identifiers 1

Medicare UPING19129AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederico Fernandez, Md. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Frederico Fernandez, MD. PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Frederico Fernandez, M.D.
Internal Medicine
NPI 1972594505
2804 GREENHILL BLVD NW SUITE 101
Fort Payne, AL 35968
(256) 845-0023
✔ PECOS✔ Accepts MedicareSame address

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

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 01D0965593

Frederico Fernandez MD PC · Fort Payne, AL
Active · expires Sep 23, 2027
CLIA Number01D0965593
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorFrederico Y. Fernandez MD
Laboratory Phone(256) 845-0023
Laboratory LocationFrederico Fernandez MD PC2804 Greenhill Blvd Suite 101, Fort Payne, AL 35968
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Frederico Fernandez, MD. PC's NPI number?

The NPI number for Frederico Fernandez, MD. PC is 1710110945. It was assigned to this organization in the NPPES registry on September 4, 2009.

Where is Frederico Fernandez, MD. PC located?

Frederico Fernandez, MD. PC is located at 2804 Greenhill Blvd NW Ste 101, Fort Payne, AL 35968. The listed phone number is (256) 845-0023.

What is Frederico Fernandez, MD. PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Frederico Fernandez, MD. PC enrolled in Medicare?

Yes. Frederico Fernandez, MD. PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frederico Fernandez, MD. PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Frederico Fernandez, MD. PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Frederico Fernandez, MD. PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0965593) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederico Fernandez, MD. PC was last updated on September 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.