Individual provider Active NPI

Florin Penciu, MD

  • Internal Medicine Physician
  • Parma, OH
National Provider Identifier
1962540757
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.087322 Issued in OH
Practice address
1057 Rockside Rd
Parma, OH 44134-2700
Phone
(440) 743-8118
Fax
(216) 201-4155
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.087322 OH Primary

Addresses

Primary practice location

1057 Rockside Rd
Parma, OH 44134-2700

Mailing address

1057 Rockside Rd
Parma, OH 44134-2700
Phone (440) 743-8118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address florinpenciu@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20220203001472 WI Practitioner - Internal Medicine 3173531746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians

Practice addresses (Care Compare)

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Hospital & facility affiliations

  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109
  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.087322OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Internal Medicine Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients

Locations

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: florin.penciu@direct.milebluff.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1962540757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342700",
            "telephone_number": "440-743-8118",
            "fax_number": "216-201-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342700",
            "telephone_number": "440-743-8118",
            "fax_number": "216-201-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCIU",
        "first_name": "FLORIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.087322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "florinpenciu@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1057 Rockside Rd",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441342700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.