DAVID RAFAEL FERNANDEZ M.D., PH.D.
NPI 1730406737
Internal Medicine - Rheumatology in New York, NY

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
535 E 70TH ST, NEW YORK, NY 10021(212) 774-7016(212) 774-2358 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Rafael Fernandez M.d., Ph.d. NPPES

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

DAVID RAFAEL FERNANDEZ M.D., PH.D. (NPI 1730406737) is an individual rheumatology provider in New York, New York, licensed in New York (269219) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1730406737
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDAVID RAFAEL FERNANDEZCredential: M.D., PH.D.
Location Address535 E 70TH STNew York, NY 10021-4898
Mailing Address535 E 70th StNew York, NY 10021-4898 · (212) 774-7016 · Fax (212) 774-2358
Fax(212) 774-2358
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1730406737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 269219
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
535 E 70TH ST, New York, NY 10021

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

David Rafael Fernandez M.d., Ph.d. 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 ID345548970
PECOS Enrollment IDI20160615000775
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 5

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.
119 services69 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.
80 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Physician Assistant (Surgical)
535 E 70TH ST
NEW YORK, NY 10021
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
Specialist/Technologist (Athletic Trainer)
535 E 70TH ST
NEW YORK, NY 10021
Speech-Language Pathologist
535 E 70TH ST
NEW YORK, NY 10021
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
535 E 70TH ST
NEW YORK, NY 10021
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021

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 David Fernandez's NPI number?

The NPI number for David Fernandez is 1730406737. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is David Fernandez located?

David Fernandez practices at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 774-7016.

What is David Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Fernandez enrolled in Medicare?

Yes. David 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.

Is David Fernandez affiliated with any hospitals?

According to CMS data, David Fernandez is affiliated with New York-Presbyterian Hospital and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for David Fernandez was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.