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LISVAN CARRERO FERNANDEZ SR.
NPI 1932842432
Internal Medicine in College Park, MD

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
10205 BALTIMORE AVE APT 7206, COLLEGE PARK, MD 20740(786) 659-7896 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 5, 2024, Apr 14, 2022 (2 updates tracked since 2022).

About Lisvan Carrero Fernandez Sr. NPPES

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

LISVAN CARRERO FERNANDEZ SR. (NPI 1932842432) is an individual internal medicine provider in College Park, Maryland, licensed in Maryland (D0101642) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1932842432
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLISVAN CARRERO FERNANDEZ SR.
Location Address10205 BALTIMORE AVE APT 7206College Park, MD 20740-4244
Mailing Address10205 Baltimore Ave Apt 7206College Park, MD 20740-4244 · (786) 659-7896
Phone(786) 659-7896
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 14, 2022
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1932842432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0101642
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10205 BALTIMORE AVE APT 7206, College Park, MD 20740
Open in Google Maps ↗

Secondary Practice Location 1

Location 15900 Cedar LnColumbia, MD 21044-3635 · Phone (443) 718-4067

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

Lisvan Carrero Fernandez Sr. 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 ID1658807581
PECOS Enrollment IDI20241216000617, I20241216000921
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

2

Medicare enrollment records show Lisvan Carrero Fernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Patient First Maryland Medical Group PLLC
5.9 mi
Family Medicine
8206 GEORGIA AVE
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1205087517 (Maryland)
  • 184 clinicians in this Medicare group
NPI 1265866503 (301) 960-4682
Sinai Hospital Of Baltimore, Inc.
24 mi
General Acute Care Hospital
2000 W BALTIMORE ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
NPI 1528716115 (410) 362-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20740 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Lisvan Carrero Fernandez's NPI number?

The NPI number for Lisvan Carrero Fernandez is 1932842432. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Lisvan Carrero Fernandez located?

Lisvan Carrero Fernandez practices at 10205 Baltimore Ave Apt 7206, College Park, MD 20740. The listed phone number is (786) 659-7896.

What is Lisvan Carrero Fernandez's specialty?

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

Is Lisvan Carrero Fernandez enrolled in Medicare?

Yes. Lisvan Carrero 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 Lisvan Carrero Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisvan Carrero Fernandez reassigns Medicare benefits to 2 organizations: Patient First Maryland Medical Group PLLC (Silver Spring, MD) and Sinai Hospital Of Baltimore, Inc. (Baltimore, MD). 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 Lisvan Carrero Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisvan Carrero Fernandez was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.