Individual provider Active NPI

Elena Marta Pernas, DO

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1003845926
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8200 Issued in FL
Practice address
11501 SW 40TH St
Miami, FL 33165-3313
Phone
(305) 642-5366
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8200 FL Primary

Addresses

Primary practice location

11501 SW 40TH St
Miami, FL 33165-3313

Mailing address

11501 SW 40TH St
Miami, FL 33165-3313
Phone (305) 642-5366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000844 FL Practitioner - Family Practice 5799826616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leon Medical Centers LLCGroup PAC ID 9537066618, 108 clinicians

Practice addresses (Care Compare)

7950 NW 2ND St
Miami, FL 33126-8017
Phone (305) 907-4147

Hospital & facility affiliations

  • Moments Hospice of Miami LLC Hospice, Miami Lakes, FL, CCN 101566
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Leon Medical Centers LLC CurrentSince Jun 27, 2016 Accepting new patients
Flex Care Professional LLC Family Medicine Current Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

101 SW 27th Ave
Miami, FL 33135
Phone 30564253662155

7950 NW 2nd St
Miami, FL 33126
Phone (305) 552-8822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1003845926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653313",
            "telephone_number": "305-642-5366",
            "fax_number": "305-631-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653313",
            "telephone_number": "305-642-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNAS",
        "first_name": "ELENA",
        "middle_name": "MARTA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.