Active NPI
Daniel Penello, M.D. MBA
- Orthopaedic Hand Surgery Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- ME107487
- Practice address
- 12416 66TH Street N
Suite a
Largo, FL 33773 - Phone
- (727) 547-4700
- Fax
- (727) 394-8661
- NPI assigned
- Nov 2, 2009
- Last updated
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME107487 | FL | Primary |
Addresses
Primary practice location
12416 66TH Street N
Suite a
Largo, FL 33773
Mailing address
12416 66TH St
Suite a
Largo, FL 33773-3430
Phone (727) 547-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME107487 | Other | FL | MEDICAL LICENSE NUMBER |
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
- Orthopedic Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12416 66TH St
Suite a
Largo, FL 33773-3430
Phone (727) 547-4700
Hospital & facility affiliations
- Morton Plant Hospital
- St Anthonys Hospital
- HCA Florida Pasadena Hospital a Part of HCA Florid
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107487 | FL | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Medical Group LLC | Hand Surgery | Current | Accepting new patients |
| Smartcare Palm Harbor, LLC | Current | Accepting new patients |
Locations
12416 66th St
Largo, FL 33773
Phone (727) 408-5310
12416 66th St
Ste A
Largo, FL 33773
Phone 7275474700112
5911 N Honore Ave
Ste 120
Sarasota, FL 34243
Phone (941) 355-3223
2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alexander Orthopaedic Associates
- Orthopaedic Surgery Physician
- Largo, FL
- NPI 1265453286
Hand Surgery
-
- Ambulatory Surgical Clinic/Center
- Palm Harbor, FL
- NPI 1982360780
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba St. Anthonys Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1851627475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12416 66TH ST",
"address_2": "SUITE A",
"city": "LARGO",
"state": "FL",
"postal_code": "337733430",
"telephone_number": "727-547-4700",
"fax_number": "727-394-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12416 66TH STREET N",
"address_2": "SUITE A",
"city": "LARGO",
"state": "FL",
"postal_code": "33773",
"telephone_number": "727-547-4700",
"fax_number": "727-394-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENELLO",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D. MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-02",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME107487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "ME107487",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.