Maria A Pimenova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME159484 Issued in FL

Practice address

1715 37TH PL FL 2
Vero Beach, FL 32960-4508

Phone

(772) 794-2222

Fax

(772) 794-0045

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian River Primary CareGroup PAC ID 0446152789, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Activa Home Health Home health agency, Stuart, FL, CCN 108113
• NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

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.

• Indian River Primary Care

  • Specialist
  • Vero Beach, FL
  • NPI 1023192507
  Medicare reassignment Care Compare group NPD

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

• Activa Health Services

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1649548777
  Care Compare affiliation
• Activa Health Services, Inc.

  • Home Health Agency
  • Stuart, FL
  • NPI 1770559718
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1629009972
  Care Compare affiliation

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1619463064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 GARFIELD DR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329687866",
            "telephone_number": "415-309-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 37TH PL FL 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604508",
            "telephone_number": "772-794-2222",
            "fax_number": "772-794-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENOVA",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "85869",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME159484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Andrew Piemontese Jr., PTA
• Monica C. Pierini Orozco, M.D.
• Gerald Pierone Jr., MD
• Ashley Elizabeth Pietrowski, MD
• Spencer Lauren Pike, OTR/L
• Juan Sebastian Pimentel, M.D.
• Richard Corbin Pinches, LMT
• Michael Daniel Pinholster, DDS
• Safa Nestagia Pinnock
• Eric Pitts, D.O.

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, 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 May 17, 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.

Verify at the official NPI Registry.