Penelope Alexandra Hirt, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME162707 Issued in FL

Practice address

18801 NE 29TH Ave
Aventura, FL 33180-2826

Phone

(754) 544-9030

NPI assigned

Oct 17, 2019

Sex

Female

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

Dermatology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  Medicare reassignment Care Compare group NPD
• Dermatology Group of Florida PA

  • Dermatology Physician
  • Aventura, FL
  • NPI 1992501910
  NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1982246377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20890 NE 31ST PL",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803638",
            "telephone_number": "786-830-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802826",
            "telephone_number": "754-544-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20890 NE 31st Pl",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803638",
            "country_code": "US",
            "telephone_number": "786-830-5866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Hollywood Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216700",
            "country_code": "US",
            "telephone_number": "954-961-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRT",
        "first_name": "PENELOPE",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME162707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Davis Hiller, M.D.
• Veronica Hincapie, FNP-C
• Michael Lynn Hinton II, DO
• Robert A Hirsch, MD
• Tali Hirsch
• HJ Richman DDS, PA
• Leonard Hochstein, M.D
• Kenneth Richard Hodor, M.D.
• Howard J. Hoffman, DDS, PA
• Bethany Holderread, PHARMD

• Dermatology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.