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DR. ANTONIO RAFAEL FONTANELLA LARA M.D.
NPI 1952506362
Internal Medicine in Enterprise, AL

Active since June 16, 2007PECOS Enrolled
37 FOX CHASE DR, ENTERPRISE, AL 36330(786) 417-1647 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Antonio Rafael Fontanella Lara M.d. NPPES

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

DR. ANTONIO RAFAEL FONTANELLA LARA M.D. (NPI 1952506362) is an individual internal medicine provider in Enterprise, Alabama, licensed in Puerto Rico (16362) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952506362
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANTONIO RAFAEL FONTANELLA LARACredential: M.D.
Location Address37 FOX CHASE DREnterprise, AL 36330-9339
Mailing Address37 Fox Chase DrEnterprise, AL 36330-9339 · (786) 417-1647
Phone(786) 417-1647
Sole ProprietorYes
Enumeration DateJune 16, 2007
Last NPPES UpdateOctober 4, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1952506362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 16362
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.

37 FOX CHASE DR, Enterprise, AL 36330
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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 (PECOS)

Dr. Antonio Rafael Fontanella Lara M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36330 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers29 claims29 services$108.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers41 claims107 services$39.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims58 services$24.27 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers22 claims22 services$66.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers43 claims43 services$21.15 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
9 suppliers60 claims60 services$20.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Antonio Fontanella Lara's NPI number?

The NPI number for Antonio Fontanella Lara is 1952506362. It was assigned to this individual provider in the NPPES registry on June 16, 2007.

Where is Antonio Fontanella Lara located?

Antonio Fontanella Lara practices at 37 Fox Chase Dr, Enterprise, AL 36330. The listed phone number is (786) 417-1647.

What is Antonio Fontanella Lara's specialty?

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

Is Antonio Fontanella Lara enrolled in Medicare?

Yes. Antonio Fontanella Lara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Fontanella Lara was last updated on October 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.