NPIMap

Individual provider Active NPI

Jeffrey De Jesus Maldonado Pena, M.D

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1679912117
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME146935 Issued in FL
Practice address
11760 SW 40TH St Ste 411
Miami, FL 33175-3595
Phone
(305) 967-8435
Fax
(305) 967-8432
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2019-02370 NC
Internal Medicine Physician 207R00000X 29336-R PR
Nephrology Physician 207RN0300X ME146935 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 411
Miami, FL 33175-3595

Mailing address

PO Box 524102
Miami, FL 33152-4102
Phone (305) 967-8435

Other practice location 1

5040 NW 7th St Ste 635
Miami, FL 33126-3796
Phone (305) 967-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, NC, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170103001126 PR Practitioner - NephrologyPractitioner - Internal Medicine 1850672908 Practice locations: Manati, PR
I20200109000983 NC Practitioner - NephrologyPractitioner - Internal Medicine 1850672908 Reassigns benefits to 2 organizations
I20220127002684 FL Practitioner - NephrologyPractitioner - Internal Medicine 1850672908 Reassigns benefits to 4 organizations
Practice locations: Doral, FL

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11760 SW 40TH St
Suite 411
Miami, FL 33175-3595
Phone (305) 967-8435

5040 NW 7TH St
Suite 635
Miami, FL 33126-3796
Phone (305) 644-2212

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29336-RPRMDInternal Medicine Physician
2019-02370NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jan 2, 2020 Accepting new patients
Kidney Institute of Miami LLC Nephrology CurrentSince May 4, 2022 Accepting new patients
Carteret Medical Group LLC CurrentSince Mar 1, 2020 Accepting new patients
Integrated Comprehensive Urgent Care LLC CurrentSince May 11, 2023 Accepting new patients
Integrated Comprehensive Urgent Care, LLC. CurrentSince May 11, 2023 Accepting new patients
Insulinic of Florida LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

3595 W 20th Ave
Ste 130
Hialeah, FL 33012
Phone (305) 456-7951

3700 Washington St
Ste 304
Hollywood, FL 33021
Phone (954) 820-5860

5040 NW 7th St
Ste 635
Miami, FL 33126
Phone (305) 644-2212

11760 SW 40th St
Ste 411
Miami, FL 33175
Phone (305) 227-9339

100 NW 170th St
Ste 411
North Miami Beach, FL 33169
Phone (305) 249-5666

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

970 Newman Rd
New Bern, NC 28562
Phone (252) 633-9262

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEGEDD/Endpoint/FEGEDD
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1679912117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331524102",
            "telephone_number": "305-967-8435",
            "fax_number": "305-967-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-967-8435",
            "fax_number": "305-967-8432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 NW 7th St Ste 635",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331263796",
            "country_code": "US",
            "telephone_number": "305-967-8435",
            "fax_number": "305-967-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO PENA",
        "first_name": "JEFFREY",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2019-02370",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "29336-R",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME146935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.