Individual provider Active NPI

Julio M. De Pena, M.D., FAAEM, FAWM

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1679776330
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME102367 Issued in FL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(305) 854-4400
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X AP111825 TX
Family Medicine Physician 207Q00000X ME102367 FL
Emergency Medicine Physician 207P00000X ME102367 FL Primary

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

PO Box 100186
Gainesville, FL 32610-0186
Phone (352) 265-5911

Other names 1

  • Dr. Julio Manuel De Pena Batista Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20081013000314 FL Practitioner - General PracticePractitioner - Emergency Medicine 1759459134 Reassigns benefits to 11 organizations
I20240221001280 TX Practitioner - Emergency Medicine 1759459134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Physicians of Country Walk LLCGroup PAC ID 4688916091, 33 clinicians
Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
South Miami Criticare IncGroup PAC ID 5092629808, 24 clinicians
Shi Keys LLCGroup PAC ID 2163835513, 20 clinicians

Practice addresses (Care Compare)

14150 SW 136TH St
Miami, FL 33186-5506
Phone (786) 204-4600

14591 SW 26TH St
Miami, FL 33175-8038
Phone (786) 888-8820

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2000

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

6200 SW 73 St
Miami, FL 33143-4679
Phone (786) 662-4000

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Apr 15, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince May 11, 2025 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince Dec 15, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 15, 2024 Accepting new patients
Emergent Physicians of Miami Lakes, LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Emergent Physicians of Doral, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine Current Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

14100 SW 136th St
Miami, FL 33186
Phone (305) 204-4600

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

13338 Tomball Pkwy
Houston, TX 77086
Phone (281) 517-1000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

6002 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 359-2100

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jdepenabatista704221@direct.shands.ufl.edu
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jdepenabatista912817@ahs.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1679776330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100186",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-854-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PENA",
        "first_name": "JULIO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D., FAAEM, FAWM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-04-15",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "AP111825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102367",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME102367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "DE PENA BATISTA",
            "middle_name": "MANUEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.