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MANUEL A. PENALVER MD
NPI 1821095829
Obstetrics & Gynecology - Gynecologic Oncology in Coral Gables, FL

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5000 UNIVERSITY DR, SUITE 3300, CORAL GABLES, FL 33146(305) 663-7001(305) 663-7004 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manuel A. Penalver Md NPPES

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

MANUEL A. PENALVER MD (NPI 1821095829) is an individual gynecologic oncology provider in Coral Gables, Florida, licensed in Florida (ME0032935) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1977).

NPPES Registry Identity

NPI1821095829
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameMANUEL A. PENALVERCredential: MD
Location Address5000 UNIVERSITY DR, SUITE 3300Coral Gables, FL 33146-2008
Mailing Address5000 University Dr, Suite 3300Coral Gables, FL 33146-2008 · (305) 663-7001 · Fax (305) 663-7004
Phone(305) 663-7001
Fax(305) 663-7004
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1977
Enumeration DateJuly 5, 2005
Last NPPES UpdateJune 20, 2011
✔ NPI 1821095829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in FL · ME0032935
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
5000 UNIVERSITY DR, Coral Gables, FL 33146
Open in Google Maps ↗

Other Identifiers 16

Other000021064-WFL · Humana Provider #
Other96471FL · Bcbs Of Fl Provider #
Other4971652-004FL · Cigna Hmo Provider #
Other139058FL · Usa Mngd. Cr. Prov. #
Medicaid068968800FL
Other50440FL · Neighborhood Prov. #
Other7799949FL · Ghi Provider Number
Other4971652-00FL · Cigna Ppo Provider #
OtherE32344FL · Vista Provider Number
Other209886FL · Avmed Thru Parity Prov. #
Other4603FL · Total Hlth. Ch. Prov. #
Other1998955FL · First Health Provider #
Other197036FL · Wellcare Provider Number
Other5599101FL · Aetna Provider Number
Medicare UPINE32344
Medicare PIN96471YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Manuel A. Penalver Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739142456
PECOS Enrollment IDI20041104000382
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.

Areas of Expertise CMS Part B claims 2

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 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.
108 services77 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

JULIETTE MORALES
Nurse Practitioner (Critical Care Medicine)
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (786) 308-3000
SPQ MEDICAL LLC
Emergency Medicine
5000 UNIVERSITY DR
MIAMI, FL 33146
Miami-Dade County (786) 294-1707
BARBARA BESSA CRNA
Nurse Anesthetist, Certified Registered
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (305) 448-9018
ANNETTE VICTORIA DE LEON
Hospitalist
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (786) 308-3000
EDUARDO E VILLALOBOS MD
Radiology (Diagnostic Radiology)
5000 UNIVERSITY DR
MIAMI, FL 33146
Miami-Dade County (786) 308-2302
DOCTORS HOSPITAL INC
Pharmacy (Community/Retail Pharmacy)
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (786) 308-4204
JANY FUENTES APRN
Internal Medicine (Geriatric Medicine)
5000 UNIVERSITY DR
MIAMI, FL 33146
Miami-Dade County (305) 505-0361
SILVIO S TANEV MD
Pathology (Clinical Pathology/Laboratory Medicine)
5000 UNIVERSITY DR
CORAL GABLES, FL 33146
Miami-Dade County (305) 669-3471

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 Manuel Penalver's NPI number?

The NPI number for Manuel Penalver is 1821095829. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Manuel Penalver located?

Manuel Penalver practices at 5000 University Dr Suite 3300, Coral Gables, FL 33146. The listed phone number is (305) 663-7001.

What is Manuel Penalver's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Manuel Penalver enrolled in Medicare?

Yes. Manuel Penalver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Manuel Penalver accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Manuel Penalver 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.

Is Manuel Penalver affiliated with any hospitals?

According to CMS data, Manuel Penalver is affiliated with Jackson Health System, Larkin Community Hospital Palm Springs Campus, Hca Florida Mercy Hospital and Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Penalver was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.