Active NPI
Luis Javier Pena-Hernandez, M.D.
- Pulmonary Disease Physician
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME117319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Wellington Regional Medical Center
- HCA Florida Palms West Hospital
- Bethesda Hospital East
- Palm Beach Gardens Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117319 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lungmd, PA | Internal Medicine | Current | Accepting new patients |
| Pulmonary Critical Care and Sleep | Pulmonary Disease | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Atlantis, FL
- NPI 1548751498
-
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1386687580
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
-
- General Acute Care Hospital
- Loxahatchee, FL
- NPI 1528014669
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.