Alexis Fernando Mena Penafiel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125.085557 Issued in IL

Practice address

3722 Harlem Ave
Riverside, IL 60546-2312

Phone

(708) 783-6566

Fax

(708) 783-6567

NPI assigned

Jul 3, 2025

Last updated

Jul 3, 2025By the provider in NPPES

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 IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1952291726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462312",
            "telephone_number": "708-783-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462312",
            "telephone_number": "708-783-6566",
            "fax_number": "708-783-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA PENAFIEL",
        "first_name": "ALEXIS",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.085557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin P Kornak DDS LTD
• Laurene M. McHatton, CCC/SLP-L
• MD Urgent Care LLC
• Jeffrey K Mei, DPT
• Matt Meier, LPC
• Yaheidy Mendoza, LE, CPE
• Lisa Meraz, APN
• Donald Stanley Miezio, M.D.
• Vaishnavi Kalpesh Modi
• Sutirtha Mohanty, MBBS

• Internal Medicine Physician in Riverside, IL
• Providers in Riverside, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.