Individual provider Active NPI

Angelica Medina Pena, MD

  • Infectious Disease Physician
  • Ocala, FL
National Provider Identifier
1073173118
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME166359 Issued in FL
Practice address
150 SE 17TH St Ste 801
Ocala, FL 34471-7100
Phone
(352) 240-8555
NPI assigned
Jun 20, 2019
Last updated
Jun 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Infectious Disease Physician 207RI0200X ME166359 FL Primary

Addresses

Primary practice location

150 SE 17TH St Ste 801
Ocala, FL 34471-7100

Mailing address

5670 54TH Ave N Ste a-1
Kenneth City, FL 33709-2067
Phone (727) 548-0260

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
I20240625002062 FL Practitioner - Infectious Disease 3577006030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases Specialty Associates PLLCGroup PAC ID 0749531598, 6 clinicians

Practice addresses (Care Compare)

150 SE 17TH St
Suite 801
Ocala, FL 34471-3716
Phone (352) 240-8555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Specialty Associates PLLC Infectious Disease CurrentSince Jul 1, 2024 Accepting new patients
Consultants in Infectious Diseases LLC Infectious Disease PastSince Jul 1, 2002 Accepting new patients

Locations

150 SE 17th St
Ste 801
Ocala, FL 34471
Phone (352) 237-7646

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCCCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1073173118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 54TH AVE N STE A-1",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337092067",
            "telephone_number": "727-548-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST STE 801",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717100",
            "telephone_number": "352-240-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA PENA",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME166359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.