Carlos Pena, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME54800 Issued in FL

Practice address

16501 NW 2ND Ave
Miami, FL 33169-6005

Phone

(305) 354-4558

NPI assigned

Apr 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

University Central del Caribe Escuela de Medicina, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Aventura Dialysis facility, Aventura, FL, CCN 102687
• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as group

Quality

70.52

Promoting interoperability

100

Improvement activities

40

Cost

73.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: carlos.pena.1@15644.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

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.

• Florida Kidney Physicians, LLC

  • Nephrology Physician
  • Temple Terrace, FL
  • NPI 1760831564
  Medicare reassignment Care Compare group NPD
• Florida Kidney Physicians , LLC

  • Nephrology Physician
  • Melbourne, FL
  • NPI 1205506722
  NPD

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

• Ara-Aventura, LLC

  dba Fresenius Kidney Care Aventura

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Aventura, FL
  • NPI 1386750164

  Dialysis facility

  Care Compare affiliation Name & address match
• Miami Beach Healthcare Group, LTD.

  dba HCA Florida Aventura Hospital

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1669435988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696005",
            "telephone_number": "305-354-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696005",
            "telephone_number": "305-354-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19056 NE 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802802",
            "country_code": "US",
            "telephone_number": "305-354-4558",
            "fax_number": "305-354-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME54800",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062529900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayleen L Pena
• Barbara Pena, M.D.
• Benigno Pena, MASSAGE THERAPIST
• Betania Pena
• Brenda Pena
• Christina Pena, M.D.
• Claudia Pena
• Constantino Santiago Pena, MD
• Daniela Jael Pena, PT, DPT
• Daniela Lucia Pena Sr., RBT

• Nephrology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.