DR. EMILIO FENTANES (M.D.) – Cardiovascular Disease Physician, NPI 1093009276

DR. EMILIO FENTANES (M.D.) is a healthcare provider. based in Jbsa lackland, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD17066 (HI). The NPI Number for DR. EMILIO FENTANES (M.D.) is 1093009276

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILIO FENTANES (M.D.)
NPI
1093009276
Phone
(210) 916-9335
Address
1100 Wilford Hall Loop Bldg 4554
Enumeration Date
5 June 2011
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6317513000
Graduation Year
2011 (15 years ago)
PAC ID
7012270911
Group Practice PAC ID
1456243641
Professional Enrollment ID
I20240206000631
Address ID
NY117871431SM48XXX25AX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Digital endpointsOther names

2,431 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

Provider Addresses for DR. EMILIO FENTANES (M.D.)

  • 1100 Wilford Hall Loop Bldg 4554

    Jbsa Lackland, TX 782365638

    Phone: (210) 916-9335

    Type: Location

  • 1 JARRETT WHITE ROAD

    HONOLULU, HI 98659

    Phone: (808) 433-2677

    Type: Mailing

  • 1 JARRETT WHITE RD

    TRIPLER ARMY MEDICAL CENTER, HI 968595001

    Phone: (808) 433-2679

    Type: Location

  • 1 MEDICAL VILLAGE DR

    EDGEWOOD, KY 410173403

    Phone: (859) 301-2160

    Fax: (859) 341-4845

    Type: Location

  • PO BOX 932163

    CLEVELAND, OH 441930008

    Phone: (610) 477-6147

    Fax: (302) 440-5532

    Type: Mailing

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 539-8414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

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: 2025-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20230414000573IDiagnostic RadiologyUTTBD
I20240206000631ICardiovascular Disease (Cardiology)NYTBD
I20250205002635IDiagnostic RadiologyFLTBD
I20250328001995ICardiovascular Disease (Cardiology)MOTBD
I20250423000219ICardiovascular Disease (Cardiology)KSTBD

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 78236)

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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: 1456243641View full group profile
NameSpecialtyState
Physician AssistantNY
-NY
U R O L O G YNY
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNY
Physician AssistantNY
U R O L O G YNY
H E M A T O L O G Y/ O N C O L O G YNY
-NY
-NY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. EMILIO FENTANES (M.D.)'s NPI?
Yes. DR. EMILIO FENTANES (M.D.) is listed with NPI 1093009276 in the public NPI dataset.
Does CMS list DR. EMILIO FENTANES (M.D.) as active?
Yes — DR. EMILIO FENTANES (M.D.) is active in the NPI listing used on this page.
What is DR. EMILIO FENTANES (M.D.) best known for clinically?
Directory data describes DR. EMILIO FENTANES (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. EMILIO FENTANES (M.D.) based?
DR. EMILIO FENTANES (M.D.) is tied to Jbsa Lackland, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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