Active NPI
Alejandro Pepen Romero, M.D.
- Nephrology Physician
- Freeport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME148284
- Practice address
- 55 N Main St
Freeport, NY 11520-2243 - Phone
- (163) 778-0145
- NPI assigned
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 282309 | NY | |
| Nephrology Physician | 207RN0300X | ME148284 | FL | Primary |
Addresses
Primary practice location
55 N Main St
Freeport, NY 11520-2243
Mailing address
PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110623200 | Medicaid | FL |
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
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2501 Paul Buchman Hwy
Suite a
Plant City, FL 33563-9016
Phone (813) 910-0030
Hospital & facility affiliations
- Kidney Center of Plant City LLC
- St Josephs Hospital
- South Florida Baptist Hospital
- Adventhealth Riverview
- HCA Florida South Shore Hospital
- Tampa General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 70.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282309 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians, LLC | Nephrology | Current | Accepting new patients |
| Florida Kidney Physicians , LLC | Nephrology | Current | Accepting new patients |
| Indi Vasudeva Services Inc | Nephrology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients |
Locations
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
2501 Paul Buchman Hwy
Ste A
Plant City, FL 33563
3140 S Falkenburg Rd
Ste 201
Riverview, FL 33578
946 Cypress Village Blvd
Ste A
Ruskin, FL 33573
2605 W Swann Ave
Ste 600
Tampa, FL 33609
Phone (813) 870-2528
1502 W Fletcher Ave
Ste 107
Tampa, FL 33612
Phone (813) 549-2392
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- apepenromero199530@direct.tgh.org
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- alejandro.pepen.romero.1@15644.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Tampa, FL
- NPI 1528267937
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Plant City, FL
- NPI 1326681404
Dialysis facility
-
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1619257003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3877",
"city": "JOLIET",
"state": "IL",
"postal_code": "604343877",
"telephone_number": "815-714-7149",
"fax_number": "815-435-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N MAIN ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115202243",
"telephone_number": "163-778-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPEN ROMERO",
"first_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-17",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "282309",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME148284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110623200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.