Individual provider Active NPI

Peter Mennie, MD

  • Urology Physician
  • Palmetto Bay, FL
National Provider Identifier
1972765329
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME115374 Issued in FL
Practice address
9299 SW 152ND St Ste 104
Palmetto Bay, FL 33157-1775
Phone
(305) 925-8118
Fax
(305) 925-8119
NPI assigned
Jun 26, 2008
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME115374 FL Primary

Addresses

Primary practice location

9299 SW 152ND St Ste 104
Palmetto Bay, FL 33157-1775

Mailing address

8669 NW 36TH St Ste 325
Doral, FL 33166-6698
Phone (305) 925-8118

Other practice location 1

8669 NW 36th St Ste 325
Doral, FL 33166-6698
Phone (305) 925-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130903000310 FL Practitioner - Urology 7719120211 Reassigns benefits to 2 organizations
I20210526000793 GA Practitioner - Urology 7719120211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urotelemedicine LLCGroup PAC ID 8224456231, 2 clinicians

Practice addresses (Care Compare)

8669 NW 36TH St
Suite 325
Doral, FL 33166-6698
Phone (305) 925-8118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA Urology CurrentSince Aug 1, 2013 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
Cohenmadorskypinon&Scruz Specialist CurrentSince Aug 1, 2013 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Urotelemedicine, LLC Urology CurrentSince Aug 1, 2020 Accepting new patients

Locations

8669 NW 36th St
Ste 325
Doral, FL 33166
Phone (305) 270-6000

941 N Krome Ave
Homestead, FL 33030
Phone (305) 248-6311

7300 N Kendall Dr
Ste 201
Miami, FL 33156
Phone (786) 270-3900

7400 SW 87th Ave
Ste 240
Miami, FL 33173
Phone (305) 270-6000

9299 SW 152nd St
Ste 104
Palmetto Bay, FL 33157
Phone (305) 233-5760

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1972765329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8669 NW 36TH ST STE 325",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666698",
            "telephone_number": "305-925-8118",
            "fax_number": "305-925-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 104",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571775",
            "telephone_number": "305-925-8118",
            "fax_number": "305-925-8119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8669 NW 36th St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666698",
            "country_code": "US",
            "telephone_number": "305-925-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENNIE",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME115374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.