HILDA ELENA FERNANDEZ MD
NPI 1831396142
Internal Medicine - Nephrology in New York, NY

Q: What is Hilda Fernandez's NPI number?

The NPI number for Hilda Fernandez is 1831396142. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Hilda Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Hilda Fernandez was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

622 W 168TH ST, NEW YORK, NY 10032(212) 305-3273(212) 305-6692 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 27, 2023, Dec 10, 2021, Jan 17, 2017 and 1 more (4 updates tracked since 2016).

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About Hilda Elena Fernandez Md NPPES

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

HILDA ELENA FERNANDEZ MD (NPI 1831396142) is an individual nephrology provider in New York, New York, licensed in New York (274374) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of California, Irvine, California College Of Medicine (2004).

NPPES Registry Identity

NPI1831396142

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameHILDA ELENA FERNANDEZCredential: MD

Location Address622 W 168TH STNew York, NY 10032-3720

Mailing Address622 W 168th St, Ph-4, Suite 124New York, NY 10032-3720 · (212) 305-3273 · Fax (212) 305-6692

Phone(212) 305-3273

Fax(212) 305-6692

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2004

Enumeration DateJune 29, 2007

Last NPPES UpdateJuly 27, 20234 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1831396142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 274374

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X · License 274374 (NY)

622 W 168TH ST, New York, NY 10032

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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

Hilda Elena Fernandez Md 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 ID8527209139

PECOS Enrollment IDI20140711000980

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 8

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.

124 services63 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.

90 services44 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

72 services19 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.

68 services35 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

63 services41 patients

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.

56 services26 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers11 claims585 services$4.81 avg. paid by Medicare

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

4 suppliers54 claims27,116 services$1.16 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers45 claims5,510 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers24 claims3,600 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers55 claims9,360 services$0.18 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine