JOSE PENA M.D.
NPI 1437264686
General Practice in Miami, FL

Q: What is Jose Pena's NPI number?

The NPI number for Jose Pena is 1437264686. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Jose Pena's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Pena was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since August 20, 2006PECOS Enrolled

10 NW 42ND AVE, STE#300, MIAMI, FL 33126(305) 774-0742(305) 774-0836 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jose Pena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE PENA M.D. (NPI 1437264686) is an individual general practice provider in Miami, Florida, licensed in Florida (ME90676) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1437264686

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJOSE PENACredential: M.D.

Location Address10 NW 42ND AVE, STE#300Miami, FL 33126-5473

Mailing Address10 Nw 42nd Ave, Ste#300Miami, FL 33126-5473 · (305) 774-0742 · Fax (305) 774-0836

Phone(305) 774-0742

Fax(305) 774-0836

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateAugust 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1437264686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME90676

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

10 NW 42ND AVE, Miami, FL 33126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Pena M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092708164

PECOS Enrollment IDI20040405001454

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jose Pena reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Private Medical Center Inc

Same address

Health Service

10 NW 42ND AVE, SUITE#300
Miami, FL 33126

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1023021011 (305) 774-0742

Ajm Medical Center, LLC

1.3 mi

Mental Health (Including Community Mental Health Center)

306 ALCAZAR AVE STE 200
Coral Gables, FL 33134

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1194406371 (305) 967-8725

Context Medical Group, Inc.

5.0 mi

Family Medicine

1700 WEST 8TH STREET
Hialeah, FL 33010

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1053366971 (305) 826-3072

City Care Doctors Inc

11 mi

Family Medicine

14732 SW 56TH ST
Miami, FL 33185

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1760045470 (786) 668-6396

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

149 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services11 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers44 claims101 services$6.85 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

1 supplier14 claims14 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers21 claims35 services$1.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIVATE MEDICAL CENTER INC

Clinic/Center (Health Service)

10 NW 42ND AVE, SUITE#300
MIAMI, FL 33126

Miami-Dade County (305) 774-0742

INTERNATIONAL MEDICAL CENTER INC

Exclusive Provider Organization

10 NW 42ND AVE, SUITE # 600
MIAMI, FL 33126

Miami-Dade County (305) 644-0977

IRVING K CABARCAS

Counselor (Mental Health)

10 NW 42ND AVE, SUITE 500
MIAMI, FL 33126

Miami-Dade County (305) 643-7800

MARILYN PERAZA

Psychiatry & Neurology (Psychiatry)

10 NW 42ND AVE
MIAMI, FL 33126

Miami-Dade County (305) 643-7800

MAYJE OTERO ZUBIZARRETA FMD

Social Worker

10 NW 42ND AVE, 500
MIAMI, FL 33126

Miami-Dade County (305) 643-7800

UMD CENTER INC

Internal Medicine

10 NW 42ND AVE
MIAMI, FL 33126

Miami-Dade County (786) 569-2622

ERIKA LUGO

Counselor (Mental Health)

10 NW 42ND AVE, SUITE 400
MIAMI, FL 33126

Miami-Dade County (305) 643-7800

OLINKA RODRIGUEZ

Social Worker

10 NW 42ND AVE, SUITE 500
MIAMI, FL 33126

Miami-Dade County (305) 643-7800

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 Jose Pena's NPI number?

The NPI number for Jose Pena is 1437264686. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Jose Pena located?

Jose Pena practices at 10 NW 42nd Ave Ste#300, Miami, FL 33126. The listed phone number is (305) 774-0742.

What is Jose Pena's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose Pena enrolled in Medicare?

Yes. Jose Pena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Pena reassigns Medicare benefits to 4 organizations: Private Medical Center Inc (Miami, FL), Ajm Medical Center, LLC (Coral Gables, FL), Context Medical Group, Inc. (Hialeah, FL) and City Care Doctors Inc (Miami, FL). Each 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 Jose Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Pena accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 3 other insurers list Jose Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Pena was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.