Domingo Pena, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

319216 Issued in NY

Practice address

1150 Webster Ave
Bronx, NY 10456-5205

Phone

(718) 975-1044

Fax

(917) 471-8032

NPI assigned

May 22, 2019

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somos Medical PCGroup PAC ID 6406217868, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Somos Medical, P.C

  • Family Medicine Physician
  • New York, NY
  • NPI 1639873144
  Medicare reassignment Care Compare group
• City Heart Vascular PLLC

  • Cardiovascular Disease Physician
  • South Richmond Hill, NY
  • NPI 1851042568

  Internal Medicine

  NPD (past)
• Metropolis Medical PC

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1891160776
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1841857166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAVEN AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322615",
            "telephone_number": "718-501-2689",
            "fax_number": "917-471-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565205",
            "telephone_number": "718-975-1044",
            "fax_number": "917-471-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Haven Ave Apt 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100322615",
            "country_code": "US",
            "telephone_number": "718-501-2689",
            "fax_number": "917-471-8032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "DOMINGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "319216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkis Pena
• Chris Pena, RN
• Claverys Pena, MHC
• Consuelo Mercedes Pena, R.N.
• Cristmida Pena
• Emely Pena
• Fanny Abreu Pena, LCSW
• Felix Pena, LCSW
• Flerida Pena, SC
• Geanina Pena

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.