Carlos Alberto Penaherrera, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME127967 Issued in FL

Practice address

7900 Harbor Island Dr # A1202
North Bay Village, FL 33141-4281

Phone

(908) 307-7639

NPI assigned

May 17, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergent Physicians of Country Walk LLCGroup PAC ID 4688916091, 33 clinicians

Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians

Emergent Physicians of Miami Lakes LLCGroup PAC ID 9739617010, 22 clinicians

Emergent Physicians of Doral LLCGroup PAC ID 5193113223, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
• South Miami Hospital Hospital, Miami, FL, CCN 100154
• Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergent Physicians of Country Walk, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1114497005
  Medicare reassignment Care Compare group NPD
• Emergent Physicians of Doral, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1245909449
  Medicare reassignment Care Compare group NPD
• Emergent Physicians of Miami Lakes, LLC

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1730901018
  Medicare reassignment Care Compare group NPD
• Emergent Physicians of West Dade, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1275200537
  Medicare reassignment Care Compare group NPD
• Emergent Physicians of Palmetto Bay, LLC

  • Emergency Medicine Physician
  • Palmetto Bay, FL
  • NPI 1639991912
  Medicare reassignment NPD
• South Miami Criticare Inc.

  • Emergency Medicine Physician
  • South Miami, FL
  • NPI 1306878210
  Medicare reassignment NPD
• Urgent Care Physicians of Country Walk LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1689838849

  Emergency Medicine

  Medicare reassignment NPD
• Urgent Care Physicians of Palmetto Bay LLC

  • General Practice Physician
  • Palmetto Bay, FL
  • NPI 1740403914

  Emergency Medicine

  Medicare reassignment NPD
• Urgent Care Physicians of Tamiami LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1639381965

  Emergency Medicine

  Medicare reassignment NPD
• Urgent Care Physicians of West Kendall LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1508989757

  Emergency Medicine

  Medicare reassignment NPD
• Urgent Care Physicians of Westchester LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1992928162

  Emergency Medicine

  Medicare reassignment NPD

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

• Doctors Hospital, Inc.

  • General Acute Care Hospital
  • Coral Gables, FL
  • NPI 1952351983
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation
• West Kendall Baptist Hospital Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1417279936
  Care Compare affiliation

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1861838823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 HARBOR ISLAND DR # A1202",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 HARBOR ISLAND DR # A1202",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414281",
            "telephone_number": "908-307-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAHERRERA",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME127967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• On Demand Med Supplies, LLC
• Ernesto Padron Magarino
• Fulvia Papasmyris Papasmyris
• Patricia Bravo M.D,P.a (Bravo Health Care Center)
• Carolina Pineiro Pedraja, MS CCC-SLP
• Johana Alexandra Perez
• Yanisleidys Perez
• Donna Jean Phillips, PH.D.
• Patricia Planas
• Maria Paula Pulgarin

• Emergency Medicine Physician in North Bay Village, FL
• Providers in North Bay Village, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.