EMANUELE FERNANDO – Speech-Language Pathologist, NPI 1619860830

EMANUELE FERNANDO is a healthcare provider. based in Arlington heights, Illinois. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 146018358 (IL). The NPI Number for EMANUELE FERNANDO is 1619860830

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
EMANUELE FERNANDO
NPI
1619860830
Phone
(847) 258-5420
Address
415 W GOLF RD
Enumeration Date
29 May 2025
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472585420
Graduation Year
2024 (2 years ago)
PAC ID
6901308642
Group Practice PAC ID
3072842590
Professional Enrollment ID
I20250903003159
Address ID
IL600746506PA916XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

446 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IL

Provider Addresses for EMANUELE FERNANDO

  • 415 W GOLF RD

    ARLINGTON HEIGHTS, IL 600053929

    Phone: (847) 258-5420

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-03

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
I20250903003159IQualified Speech Language PathologistILTBD

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 60005)

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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: 3072842590View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I cross-check EMANUELE FERNANDO using NPI 1619860830?
NPI 1619860830 belongs to EMANUELE FERNANDO; compare other details if you need extra assurance.
Is there an active status for EMANUELE FERNANDO?
For scheduling context, EMANUELE FERNANDO is shown as active in the registry.
What expertise is attributed to EMANUELE FERNANDO?
EMANUELE FERNANDO's specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is EMANUELE FERNANDO registered?
Use Arlington Heights, Illinois as the headline location for EMANUELE FERNANDO here.
When was this NPI issued?
Enumeration for EMANUELE FERNANDO is noted as May 29, 2025 where the registry provides it.

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