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DANIEL TENNENBAUM M.D.
NPI 1629509385
Urology - Pediatric Urology in Miami, FL

Active since March 24, 2017PECOS Enrolled
3200 SW 60TH CT STE 104, MIAMI, FL 33155(718) 283-7710 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Jul 24, 2023, Aug 30, 2018 and 1 more (4 updates tracked since 2017).

About Daniel Tennenbaum M.d. NPPES

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

DANIEL TENNENBAUM M.D. (NPI 1629509385) is an individual pediatric urology provider in Miami, Florida, licensed in Florida (ME162026) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1629509385
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDANIEL TENNENBAUMCredential: M.D.
Location Address3200 SW 60TH CT STE 104Miami, FL 33155-4069
Mailing Address3200 Sw 60th Ct Ste 104Miami, FL 33155-4069 · (182) 837-7107
Phone(718) 283-7710
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1629509385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in FL · ME162026
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License ME162026 (FL)
3200 SW 60TH CT STE 104, Miami, FL 33155
Open in Google Maps ↗

Secondary Practice Location 1

Location 18931 Colonial Center Dr Ste 401Fort Myers, FL 33905-7809 · Phone (239) 396-8930 · Fax (239) 396-8932

Other Identifiers 1

Medicaid120751800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AvMed, Cigna Healthcare 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)

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

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

3

Medicare enrollment records show Daniel Tennenbaum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Florida Pediatric Urology LLP
0.1 mi
Pediatric Urology
3100 SW 62ND AVE STE 100
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1891529715 (305) 669-6448
Lee Memorial Health System
112 mi
Federally Qualified Health Center (FQHC)
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1720715295 (239) 343-9567
Lee Health System Inc
114 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

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

Other Providers at the Same Location NPPES 7

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

MIGUEL ALFREDO CASTELLAN M.D.
Urology (Pediatric Urology)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448
ANDREW S LABBIE MD
Urology (Pediatric Urology)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448
CINTHIA SOFIA GALVEZ M.D
Urology (Pediatric Urology)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448
DANIEL ELLIOT NASSAU M.D.
Urology (Pediatric Urology)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448
KELLY CARTAGENA DNP, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Urology (Pediatric Urology)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448
RAFAEL GOSALBEZ MD
Urology (Pediatric Urology)
3200 SW 60TH CT STE 104
MIAMI, FL 33155
Miami-Dade County (305) 669-6448

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 Daniel Tennenbaum's NPI number?

The NPI number for Daniel Tennenbaum is 1629509385. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Daniel Tennenbaum located?

Daniel Tennenbaum practices at 3200 SW 60th Ct Ste 104, Miami, FL 33155. The listed phone number is (718) 283-7710.

What is Daniel Tennenbaum's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Daniel Tennenbaum enrolled in Medicare?

Yes. Daniel Tennenbaum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Tennenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Tennenbaum reassigns Medicare benefits to 3 organizations: South Florida Pediatric Urology LLP (Miami, FL), Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, 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 Daniel Tennenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Tennenbaum accept?

Health plans from 22 Health, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Daniel Tennenbaum 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 Daniel Tennenbaum was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.