NPIMap

Individual provider Active NPI

Pedro Hernandez-Lopez, M.D.

  • Nephrology Physician
  • Pembroke Pines, FL
National Provider Identifier
1649498569
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME105945 Issued in FL
Practice address
1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718
Phone
(954) 228-8180
Fax
(954) 228-8183
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME105945 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718

Mailing address

4408 SW 195TH Ter
Miramar, FL 33029-6201
Phone (954) 668-3101

Other identifiers 1

IdentifierTypeStateIssuer
002366700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000599 FL Practitioner - Nephrology 9638263353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Plus, IncGroup PAC ID 2264679406, 4 clinicians

Practice addresses (Care Compare)

1 SW 129TH Ave
Suite 405
Pembroke Pines, FL 33027-1718
Phone (954) 228-8180

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 987-2000

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 987-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105945FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Plus Inc Nephrology CurrentSince Jan 15, 2013 Accepting new patients
Cano Health, LLC CurrentSince Jan 3, 2022 Accepting new patients
Kidney Doctors Dialysis Center Inc PastSince Apr 1, 2022 Accepting new patients
National Kidney Partners, LLP Nephrology Past Accepting new patients
Kidney Group of South Florida PA PastSince Jul 1, 2013 Accepting new patients

Locations

5605 NW 82nd Ave
Doral, FL 33166
Phone (305) 777-3515

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930

3448 NW 79th St
Miami, FL 33147
Phone (786) 949-6347

20215 NW 2nd Ave
Ste 1
North Miami Beach, FL 33169
Phone (305) 652-4542

302 NW 179th Ave
Ste 102
Pembroke Pines, FL 33029
Phone (954) 430-5551

1 SW 129th Ave
Ste 405
Pembroke Pines, FL 33027
Phone (954) 228-8180

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

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 8

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1649498569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 SW 195TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296201",
            "telephone_number": "954-668-3101",
            "fax_number": "954-228-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 405",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271718",
            "telephone_number": "954-228-8180",
            "fax_number": "954-228-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-LOPEZ",
        "first_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME105945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002366700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.