Individual provider Active NPI

Claudia Penalba, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Coral Gables, FL
National Provider Identifier
1093742504
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME0066217 Issued in FL
Practice address
6705 Red Road
Suite 516
Coral Gables, FL 33143-3622
Phone
(305) 403-2921
Fax
(305) 403-2928
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME0066217 FL Primary

Addresses

Primary practice location

6705 Red Road
Suite 516
Coral Gables, FL 33143-3622

Mailing address

PO Box 557335
Miami, FL 33255-7335
Phone (305) 251-3991

Other identifiers 1

IdentifierTypeStateIssuer
376016200MedicaidFL

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
I20101104000332 FL Practitioner - Physical Medicine and Rehabilitation 4183690035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066217FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penalba Rehabilitation Medicine P a Physical Medicine & Rehabilitation CurrentSince Aug 19, 2002 Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients

Locations

28899 S Dixie Hwy
Homestead, FL 33033
Phone (305) 246-1265

11215 SW 84th St
Miami, FL 33173
Phone (305) 270-7000

6705 SW 57th Ave
Ste 516
South Miami, FL 33143
Phone (305) 403-2921

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1093742504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557335",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557335",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD",
            "address_2": "SUITE 516",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-403-2921",
            "fax_number": "305-403-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALBA",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME0066217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376016200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.