KEITH PENERA PODIATRY CORPORATION
NPI 1154114973
Podiatrist - Foot & Ankle Surgery in Huntington Beach, CA
About Keith Penera Podiatry Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH PENERA PODIATRY CORPORATION (NPI 1154114973) is a healthcare organization registered as a foot & ankle surgery in Huntington Beach, California and active in the NPI registry since May 2025. The organization lists Keith E Penera, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keith Penera Podiatry Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keith Penera Podiatry Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
San Juan Capistrano, CA 92675
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Penera Podiatry Corporation's NPI number?
The NPI number for Keith Penera Podiatry Corporation is 1154114973. It was assigned to this organization in the NPPES registry on May 24, 2025.
Where is Keith Penera Podiatry Corporation located?
Keith Penera Podiatry Corporation is located at 18080 Beach Blvd Ste 102, Huntington Beach, CA 92648. The listed phone number is (714) 841-5055.
What is Keith Penera Podiatry Corporation's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Keith Penera Podiatry Corporation enrolled in Medicare?
Yes. Keith Penera Podiatry Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keith Penera Podiatry Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Keith Penera Podiatry Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keith Penera Podiatry Corporation was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keith Penera Podiatry Corporation · NPI 1154114973
Foot & Ankle Surgery organization in Huntington Beach, California. Organization record, active in the CMS NPPES registry since May 24, 2025.
## Identity
- **NPI:** 1154114973 (Entity type: Organization)
- **Enumerated:** May 24, 2025
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Keith Penera, PRESIDENT
## Practice location
- **Address:** 18080 BEACH BLVD STE 102, Huntington Beach, CA 92648-1343
- **Phone:** (714) 841-5055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154114973) · Data from the CMS NPPES public registry.