Individual provider Active NPI

Felix G Penate, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1366493850
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87037 Issued in FL
Practice address
14150 SW 119TH Ave Ste 102
Miami, FL 33186-6012
Phone
(786) 709-9362
Fax
(786) 709-9364
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 ME87037 FL Primary

Addresses

Primary practice location

14150 SW 119TH Ave Ste 102
Miami, FL 33186-6012

Mailing address

6450 W 21St CT Ste 200
Hialeah, FL 33016-3942
Phone (305) 698-0806

Other identifiers 1

IdentifierTypeStateIssuer
263584400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Miguel Fernandez MD PA Past Accepting new patients
Megatesting Inc PastSince Jul 16, 2012 Accepting new patients
Cardenas Medical Center Inc Past Accepting new patients
Elite Health & Rehabilitation Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23243/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1366493850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT STE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163942",
            "telephone_number": "305-698-0806",
            "fax_number": "305-698-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW 119TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866012",
            "telephone_number": "786-709-9362",
            "fax_number": "786-709-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENATE",
        "first_name": "FELIX",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263584400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.