Individual provider Active NPI

Israel E Penate, M.D

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1427073329
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME94617 Issued in FL
Practice address
9800 W Sample Rd
Coral Springs, FL 33065-4039
Phone
(954) 755-5504
Fax
(954) 755-7052
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 94617 FL
Internal Medicine Physician 207R00000X ME94617 FL Primary

Addresses

Primary practice location

9800 W Sample Rd
Coral Springs, FL 33065-4039

Mailing address

9800 W Sample Rd
Coral Springs, FL 33065-4039
Phone (954) 755-5504

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
I20070405000098 FL Practitioner - Internal Medicine 0547364283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

9800 W Sample Rd
Optum Coral Springs
Coral Springs, FL 33065-4039
Phone (954) 755-5504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 94617FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Jan 1, 2022 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

9800 W Sample Rd
Coral Springs, FL 33065
Phone (954) 341-3739

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

5901 Colonial Dr
Ste 301
Margate, FL 33063
Phone (954) 935-1477

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

Interoperability endpoints

  • Direct secure messaging: israel.penate@wellmed.eclinicaldirectplus.com

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.

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1427073329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENATE",
        "first_name": "ISRAEL",
        "middle_name": "E",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 94617",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.