Richard J Pena- Ariet MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RICHARD J PENA- ARIET MD PA

Practice address

1420 SW Saint Lucie West Blvd Ste 107
Port Saint Lucie, FL 34986-1709

Phone

(772) 879-1112

Fax

(772) 879-1167

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Richard J Pena Ariet, MDNPI 1225015852

Title

President

Phone

(772) 879-1112

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard J Pena -Ariet, MD

  • Internal Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1225015852
  Medicare reassignment Care Compare group NPD Authorized official
• Eduardo Castro, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1558903104
  Medicare reassignment Care Compare group NPD
• Kristina Clark, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1063871341
  Medicare reassignment Care Compare group NPD
• Alexander Friman, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1699482463
  Medicare reassignment Care Compare group NPD
• Bresha Patton

  • Primary Care Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1336602382
  Medicare reassignment Care Compare group NPD
• Catherine Nelson Rohm, ARNPBC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1740439959
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1609804624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD STE 107",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-879-1112",
            "fax_number": "772-879-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD STE 107",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-879-1112",
            "fax_number": "772-879-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J PENA- ARIET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "PENA ARIET",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-879-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7184385",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265063100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Reynolds
• Rez Med Medical Supply LLC
• Reza Ardalan DMD PA
• Jillian L Ricard
• Richard Cruz Capital LLC
• Alicia Richardson
• Lorna D Richardson
• Zeobia Sherease Richardson
• Maggie Cheyenne Paige Rider
• Sarah Ann Rider

• Internal Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.