Active NPI
Antonio Alexis Pena, M.D.
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1699776138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 79481
- Practice address
- 8600 SW 92ND St
Suite 101
Miami, FL 33156-7397 - Phone
- (305) 596-5286
- Fax
- (305) 596-5884
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79481 | FL | Primary |
Addresses
Primary practice location
8600 SW 92ND St
Suite 101
Miami, FL 33156-7397
Mailing address
8600 SW 92ND St
Suite 101
Miami, FL 33156-7397
Phone (305) 596-5286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258196500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8600 SW 92ND St
Suite 101
Miami, FL 33156-7377
Phone (305) 596-5286
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79481 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- antonio.pena.1@24683.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1447397211
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Miami, FL
- NPI 1336833078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1699776138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 SW 92ND ST",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567397",
"telephone_number": "305-596-5286",
"fax_number": "305-596-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 SW 92ND ST",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567397",
"telephone_number": "305-596-5286",
"fax_number": "305-596-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "ANTONIO",
"middle_name": "ALEXIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "79481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258196500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.