Individual provider Active NPI

Luis Javier Pena-Hernandez, M.D.

  • Pulmonary Disease Physician
  • Atlantis, FL
National Provider Identifier
1457562159
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME117319 Issued in FL
Practice address
5401 S Congress Ave Ste 204
Atlantis, FL 33462-6637
Phone
(561) 967-4118
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME117319 FL
Internal Medicine Physician 207R00000X 4301085441 MI
Pulmonary Disease Physician 207RP1001X ME117319 FL Primary

Addresses

Primary practice location

5401 S Congress Ave Ste 204
Atlantis, FL 33462-6637

Mailing address

5401 S Congress Ave Ste 204
Atlantis, FL 33462-6637
Phone (561) 967-4118

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
I20131028001216 FL Practitioner - Pulmonary Disease 3476731464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Critical Care and SleepGroup PAC ID 1658610910, 19 clinicians

Practice addresses (Care Compare)

5401 S Congress Ave
Suite 204
Atlantis, FL 33462-6637
Phone (561) 967-4118

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117319FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lungmd, PA Internal Medicine Current Accepting new patients
Pulmonary Critical Care and Sleep Pulmonary Disease CurrentSince Jan 2, 2019 Accepting new patients

Locations

5401 S Congress Ave
Ste 204
Lake Worth, FL 33462
Phone (561) 967-4118

10131 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33414
Phone (561) 798-4455

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1457562159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 204",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-967-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 204",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-967-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-HERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME117319",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085441",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME117319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.