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DR. ROBERTO JOAQUIN FERNANDEZ D.O. MPH
NPI 1922446459
Internal Medicine - Hematology & Oncology in Duluth, MN

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST STE L101, DULUTH, MN 55802(218) 249-3081(218) 249-7875 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2020, Oct 10, 2019 (2 updates tracked since 2019).

About Dr. Roberto Joaquin Fernandez D.o. Mph NPPES

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

DR. ROBERTO JOAQUIN FERNANDEZ D.O. MPH (NPI 1922446459) is an individual hematology & oncology provider in Duluth, Minnesota, licensed in Minnesota (66358) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Burton.

NPPES Registry Identity

NPI1922446459
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ROBERTO JOAQUIN FERNANDEZCredential: D.O. MPH
Location Address1001 E SUPERIOR ST STE L101Duluth, MN 55802
Mailing Address1001 E Superior St Ste L101Duluth, MN 55802-2207 · (218) 249-3081 · Fax (218) 249-7875
Phone(218) 249-3081
Fax(218) 249-7875
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 6, 2013
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1922446459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MN · 66358
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1001 E SUPERIOR ST STE L101, Duluth, MN 55802
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Secondary Practice Location 1

Location 11096 S Belsay Rd, Suite CBurton, MI 48509-1948 · Phone (810) 743-3351

Other Identifiers 1

Other5101020232MI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roberto Joaquin Fernandez D.o. Mph 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 ID7214257278
PECOS Enrollment IDI20191021000876, I20260316001007
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Roberto Fernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Hospital Of Duluth
Same address
Radiation Oncology
1001 E SUPERIOR ST, STE 101
Duluth, MN 55802
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
NPI 1174577878 (218) 249-7880
Lake View Memorial Hospital, Inc
26 mi
Critical Access
325 11TH AVE
Two Harbors, MN 55616
  • Reassigned Medicare billing, Minnesota enrollment
  • 95 clinicians in this Medicare group
NPI 1023067642 (218) 834-7300
Camden-Clark Physician Corporation
743 mi
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 461 clinicians in this Medicare group
NPI 1710125430 (304) 424-4593

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

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.

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.
297 services129 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.
64 services43 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.
40 services37 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

North Shore Health

Critical Access Hospitals · Grand Marais, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241317
Location515 5th Ave WestGrand Marais, MN 55604 · Cook County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Roberto Fernandez's NPI number?

The NPI number for Roberto Fernandez is 1922446459. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Roberto Fernandez located?

Roberto Fernandez practices at 1001 E Superior St Ste L101, Duluth, MN 55802. The listed phone number is (218) 249-3081.

What is Roberto Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Roberto Fernandez enrolled in Medicare?

Yes. Roberto 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.

Which organizations bill Medicare for Roberto Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Fernandez reassigns Medicare benefits to 3 organizations: St. Luke's Hospital Of Duluth (Duluth, MN), Lake View Memorial Hospital, Inc (Two Harbors, MN) and Camden-Clark Physician Corporation (Parkersburg, WV). Each 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 Roberto Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Fernandez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Roberto 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 Roberto Fernandez affiliated with any hospitals?

According to CMS data, Roberto Fernandez is affiliated with St Lukes Hospital, Lake View Memorial Hospital, North Shore Health, Community Memorial Hospital and Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Roberto Fernandez was last updated on December 4, 2020. 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.