Individual provider Active NPI

James Michael Pineno, M.D.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1578862447
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME109157 Issued in FL
Practice address
8036 S Tamiami Trail
Venice, FL 34293-5113
Phone
(941) 244-4300
Fax
(941) 244-4380
NPI assigned
Mar 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME109157 FL Primary

Addresses

Primary practice location

8036 S Tamiami Trail
Venice, FL 34293-5113

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (778) 563-7748

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
I20110617000505 FL Practitioner - Family Practice 4486832656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109157FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Apr 6, 2024 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Apr 6, 2024 Accepting new patients
Cooper Family Medical PLLC Family Medicine CurrentSince Jul 16, 2012 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

5123 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 744-5510

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

13815 Tamiami Trl
North Port, FL 34287
Phone (941) 426-4900

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

8036 S Tamiami Trl
Venice, FL 34293
Phone (941) 202-0500

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: james.pineno.1@4290.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26999/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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 4

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1578862447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "778-563-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8036 S TAMIAMI TRAIL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935113",
            "telephone_number": "941-244-4300",
            "fax_number": "941-244-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINENO",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME109157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.