Individual provider Active NPI

Cesar Alexander Pena, MD

  • Pediatrics Physician
  • Wellington, FL
National Provider Identifier
1548741671
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME153469 Issued in FL
Practice address
10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155
Phone
(561) 513-9030
Fax
(561) 793-4375
NPI assigned
Aug 27, 2018
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X ME153469 FL Primary

Addresses

Primary practice location

10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155

Mailing address

10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155
Phone (561) 513-9030

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
I20231026003746 FL Practitioner - Pediatric Medicine 1052767027 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, PA CurrentSince Oct 18, 2023 Accepting new patients
Soma Medical Center, PA CurrentSince Oct 18, 2023 Accepting new patients
Soma Medical Center, P. a #4 Pediatrics Past Accepting new patients
Soma Medical Center, PA 2 Pediatrics Past Accepting new patients

Locations

330 S Dixie Hwy
Ste 3
Lake Worth, FL 33460
Phone (561) 275-1155

3145 S Congress Ave
Ste B
Palm Springs, FL 33461
Phone (561) 360-2034

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1548741671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146155",
            "telephone_number": "561-513-9030",
            "fax_number": "561-793-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146155",
            "telephone_number": "561-513-9030",
            "fax_number": "561-793-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "CESAR",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME153469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.