William R Pena, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84291 Issued in FL

Practice address

6517 Taft St Ste 102
Hollywood, FL 33024-4063

Phone

(954) 399-9014

Fax

(954) 367-7175

NPI assigned

Apr 18, 2006

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primary Medical Physicians, LLCGroup PAC ID 4183016991, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
• Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

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.

• Primary Medical Physicians, LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1225622095
  Medicare reassignment Care Compare group NPD
• Southwell Healthcare Inc

  dba Saona Medical Center

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1891509790
  Medicare reassignment NPD
• Mental Health Services Corp

  • Behavior Analyst
  • Pembroke Pines, FL
  • NPI 1770930299
  NPD
• Primary Medical Physicians, LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1952994907
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  dba Memorial Hospital West

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Hospital Miramar

  • General Acute Care Hospital
  • Miramar, FL
  • NPI 1326021197
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Regional Hospital

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1568427078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243804",
            "telephone_number": "954-399-9014",
            "fax_number": "954-367-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244063",
            "telephone_number": "954-399-9014",
            "fax_number": "954-367-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME84291",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263658100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pembroke West Diagnostic Imaging Inc
• Arianna Pena Labrada
• Ena Pena
• Maureen Pena
• Nydia Pena
• Andres C Penaranda
• Penate Medical Center 7 LLC
• Chelsea Peralta
• Mirelis Peraza, PSY.D.
• Martin Lewis Percher, LCSW

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.

Verify at the official NPI Registry.