NPIMap

Individual provider Active NPI

Jesus L Penabad, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hudson, FL
National Provider Identifier
1285637553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME0066672 Issued in FL
Practice address
14100 Fivay Rd
Ste 250
Hudson, FL 34667-7151
Phone
(727) 869-7822
Fax
(727) 862-0934
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME0066672 FL Primary

Addresses

Primary practice location

14100 Fivay Rd
Ste 250
Hudson, FL 34667-7151

Mailing address

14100 Fivay Rd
Ste 250
Hudson, FL 34667-7151
Phone (727) 869-7822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051210000023 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 7719903509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes Care Center, IncGroup PAC ID 2466478250, 6 clinicians

Practice addresses (Care Compare)

2531 Landmark Dr
Suite 104
Clearwater, FL 33761-3928
Phone (727) 869-7822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as individual
Quality
78.68
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066672FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Care Center, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Feb 8, 2017 Accepting new patients
Advanced Diabetes Treatment Centers LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
West Central Gastroenterology LLP PastSince Aug 1, 2025 Accepting new patients
Women'S Care Center of Pasco Past Accepting new patients
West Florida Medical Specialists PA Past Accepting new patients

Locations

2531 Landmark Dr
Ste 104
Clearwater, FL 33761
Phone (727) 669-0609

8600 Easthaven Ct
New Port Richey, FL 34655
Phone (727) 375-7929

5422 US Highway 19
New Pt Richey, FL 34652
Phone (727) 849-1591

14100 Fivay Rd
Ste 250
Port Richey, FL 34667
Phone (727) 869-7822

1840 Mease Dr
Ste 410
Safety Harbor, FL 34695
Phone (727) 450-1349

2102 Trinity Oaks Blvd
Ste 205
Trinity, FL 34655
Phone (727) 773-9793

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jpenabad@diabetescarecenters.ssdirect.aprima.com

Organizations & group practices 5

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 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285637553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "STE 250",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677151",
            "telephone_number": "727-869-7822",
            "fax_number": "727-862-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "STE 250",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677151",
            "telephone_number": "727-869-7822",
            "fax_number": "727-862-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENABAD",
        "first_name": "JESUS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0066672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.