Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Emil Fernando, MD

Individual provider Internal Medicine Physician · NPI 1982968129

Dr. Emil Fernando, MD is an Internal Medicine in Poplar Bluff, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2011, 15 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri, New York and Ohio.

Years since qualifying
15
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO, NY, OH
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 Oak Grove Rd
Poplar Bluff, MO 63901
Phone: (573) 785-7721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 255 Lafayette Ave, Suffern, NY 10901-4812 — (573) 718-1414
  • 255 Lafayette Ave, Suffern, NY 10901-4812 — (573) 718-1414

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2017001080 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 280374 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.134257 (OH)

Record details

NPI number1982968129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2012
Last updated in NPPESApril 26, 2019
Mailing address2566 Stone Ridge Dr, Poplar Bluff, MO 63901-2169

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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