DANIEL TENNENBAUM M.D. - NPI 1629509385

Q: 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.

Q: What is Daniel Tennenbaum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Tennenbaum was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 8

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)