JOAN KATHRYN FERNANDEZ (MD) – Dermatology Physician, NPI 1417512815

JOAN KATHRYN FERNANDEZ (MD) is a healthcare provider. based in Houston, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. U4506 (TX). The NPI Number for JOAN KATHRYN FERNANDEZ (MD) is 1417512815

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JOAN KATHRYN FERNANDEZ (MD)
NPI
1417512815
Phone
(903) 360-8633
Address
1 BAYLOR PLZ
Enumeration Date
1 May 2019
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2145504890
Graduation Year
2019 (7 years ago)
PAC ID
2062954241
Group Practice PAC ID
1153863337
Professional Enrollment ID
I20240603003207
Address ID
TX750934312PL2000XPKWY302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for JOAN KATHRYN FERNANDEZ (MD)

  • Baylor College of Medicine, 1, Baylor Plaza, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    HOUSTON, TX 770303411

    Phone: (903) 360-8633

    Type: Location

  • 1 Baylor Plz

    Houston, TX 770303411

    Phone: (903) 360-8633

    Type: Location

  • 2630 BISSONNET ST APT 4155

    HOUSTON, TX 770051373

    Phone: (903) 360-8633

    Type: Mailing

  • 2000 DALLAS PKWY STE 200

    PLANO, TX 750934312

    Phone: (214) 550-4890

    Fax: (214) 550-4891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $365.

Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: UCB, Inc. ($142).

Total Amount

$365

General + Research + Ownership

Payments

11

Total payment records

General Amount

$365

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-06-03

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
I20240603003207IDermatologyTXTBD

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 77030)

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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: 1153863337View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What is the standard ID for JOAN KATHRYN FERNANDEZ (MD) in the U.S.?
In the U.S., JOAN KATHRYN FERNANDEZ (MD) is identified by NPI 1417512815.
Is JOAN KATHRYN FERNANDEZ (MD) currently accepting referrals based on NPI status?
Registry metadata lists JOAN KATHRYN FERNANDEZ (MD) as active.
What does the directory say JOAN KATHRYN FERNANDEZ (MD) does?
Insurance directories may phrase it differently, but here JOAN KATHRYN FERNANDEZ (MD) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JOAN KATHRYN FERNANDEZ (MD) in Houston, Texas?
For routing, start with Houston, Texas for JOAN KATHRYN FERNANDEZ (MD), then verify phone and hours locally.
Can I export JOAN KATHRYN FERNANDEZ (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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