Active NPI
Luz E Peguero, M.D.
- Internal Medicine Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME107520
- Practice address
- 2301 Del Prado Blvd S
Cape Coral, FL 33990-4615 - Phone
- (239) 574-8880
- Fax
- (239) 574-4876
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 217674 | NY | |
| Internal Medicine Physician | 207R00000X | ME107520 | FL | Primary |
Addresses
Primary practice location
2301 Del Prado Blvd S
Cape Coral, FL 33990-4615
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Other practice location 1
1044 State St
Schenectady, NY 12307-1508
Phone (518) 370-1441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53099A | Other | NY | MEDICARE PIN |
| 331833 | Other | NY | MEDICARE OSCAR |
| 02995513 | Medicaid | NY | |
| 02251105 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1407 Viscaya Pkwy
Suite 2
Cape Coral, FL 33990-6200
Hospital & facility affiliations
- Empath Home Health
- Cape Coral Hospital
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10808 | PR | MD | Pharmacy Technician |
| ME107520 | FL | MD | Internal Medicine Physician |
| 217674 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schenectady Family Health Services, Inc. | Current | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Current | Accepting new patients | |
| Florida Medical Associates LLC | Current | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Past | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Past | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Past | Accepting new patients |
Locations
2301 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-8880
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
1044 State St
Schenectady, NY 12307
Phone (518) 370-1441
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- luz.peguero@sl.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Family Medicine Physician
- Schenectady, NY
- NPI 1396711982
-
- Dental Clinic/Center
- Schenectady, NY
- NPI 1457024218
-
- Family Medicine Physician
- Amsterdam, NY
- NPI 1174947469
-
- Dental Clinic/Center
- Schenectady, NY
- NPI 1316624786
-
- Dental Clinic/Center
- Schenectady, NY
- NPI 1538705819
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1659675106
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1760469654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "800-480-5243",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339904615",
"telephone_number": "239-574-8880",
"fax_number": "239-574-4876"
}
],
"practiceLocations": [
{
"address_1": "1044 State St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123071508",
"country_code": "US",
"telephone_number": "518-370-1441",
"fax_number": "518-395-9431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEGUERO",
"first_name": "LUZ",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "217674",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME107520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "53099A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OSCAR",
"identifier": "331833",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02995513",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02251105",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.