Rafael Eduardo Pena, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

ME137799 Issued in FL

Practice address

1331 S International Pkwy Ste 1261
Lake Mary, FL 32746-1405

Phone

(407) 444-4848

Fax

(407) 444-4870

NPI assigned

Jun 23, 2006

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, 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

Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Lewis and Klancke Cardiology PAGroup PAC ID 6305731860, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
• Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGBFAD
• Direct secure messaging: rpena@daytonaheart.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment Care Compare group NPD
• Lewis & Klancke Cardiology PA

  dba Daytona Heart Group

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1669589263
  Medicare reassignment Care Compare group NPD
• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1396754172
  Medicare reassignment NPD
• Lewis & Klancke Cardiology, P.a.

  dba Daytona Heart Group

  • Cardiovascular Disease Physician
  • Port Orange, FL
  • NPI 1205557691
  NPD
• Cardiology Associates, Inc

  • Cardiovascular Disease Physician
  • Elkins Park, PA
  • NPI 1487743514
  NPD (past)
• David Markowitz, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Newtown, PA
  • NPI 1336313402
  NPD (past)

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

• Halifax Hospital Medical Center

  dba Halifax Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Southeast Volusia Healthcare Corporation

  dba AdventHealth New Smyrna Beach

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1871977942
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1659307486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 SR 46 # 376",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719230",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S INTERNATIONAL PKWY STE 1261",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461405",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "RAFAEL",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME137799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JL066Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Potentials, Inc.
• Pediatrix Medical Group of Florida, Inc
• Pedro M. Ramirez MD PLLC (Neurosurgery of Central Florida)
• Mark William Pegan, D.C.
• Deanne Josephine Pelliccio
• Madison Lynn Penhaligon
• Darlin Perez Gonzalez
• Oscar Alberto Perez Gutierrez, MD
• Kassandra Perez, M.A, BCBA
• Megan Michelle Perez, DMD

• Clinical Cardiac Electrophysiology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Clinical Cardiac Electrophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.