MR. ADAM M SR. FERNANDEZ (CAA) – Anesthesiologist Assistant, NPI 1649588310

MR. ADAM M SR. FERNANDEZ (CAA) is a healthcare provider. based in Sunrise, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. AA60 (FL). The NPI Number for MR. ADAM M SR. FERNANDEZ (CAA) is 1649588310

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. ADAM M SR. FERNANDEZ (CAA)
NPI
1649588310
Phone
(954) 838-2371
Address
1613 HARRISON PKWY
Enumeration Date
16 September 2010
Last Update Date
31 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545875010
Graduation Year
2010 (16 years ago)
PAC ID
5496940652
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20101112000936
Address ID
FL333172835PL401XXAVEX400

Contacts

Secure Messaging
afernandez13761@MHSDIRECT.NET
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for MR. ADAM M SR. FERNANDEZ (CAA)

  • 1613 HARRISON PKWY

    SUNRISE, FL 333232896

    Phone: (954) 838-2371

    Type: Mailing

  • 3600 WASHINGTON ST

    HOLLYWOOD, FL 330218216

    Phone: (954) 985-6310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($144).

Total Amount

$182

General + Research + Ownership

Payments

10

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101112000936IAnesthesiology AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33323)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

What is the standard ID for MR. ADAM M SR. FERNANDEZ (CAA) in the U.S.?
In the U.S., MR. ADAM M SR. FERNANDEZ (CAA) is identified by NPI 1649588310.
Does the public listing show MR. ADAM M SR. FERNANDEZ (CAA) as active?
MR. ADAM M SR. FERNANDEZ (CAA)'s NPI record reflects an active status in NPPES.
What type of care does MR. ADAM M SR. FERNANDEZ (CAA) provide?
MR. ADAM M SR. FERNANDEZ (CAA)'s profile centers on Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. ADAM M SR. FERNANDEZ (CAA)?
MR. ADAM M SR. FERNANDEZ (CAA) shows a connection to Sunrise, Florida in registry-derived data.
Why is information missing for MR. ADAM M SR. FERNANDEZ (CAA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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