Physician Profile
Carlos Pena, M.D. is a healthcare provider in Miami, FL specializing in nephrology. Carlos trained at University Central del Caribe Escuela de Medicina, graduating in 1982. Carlos is also listed as specializing in specialist. According to Medicare claims data, Carlos cared for 280 Medicare patients across 611 services. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, dialysis services, 4 or more physician visits per month (20 years or older), and visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
16501 NW 2ND AVE
Miami, FL 33169
19056 NE 29th Ave
Aventura, FL 33180
Within Nephrology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Acid-base disorders
Anatomical conditions
Autoimmune conditions
Blood disorders
Blood pressure
Cysts and growths
Diabetes complications
Dialysis complications
Electrolyte disorders
Fluid retention
Genetic disorders
Hormone disorders
Infections
Inflammatory conditions
Kidney damage
Kidney failure
Kidney filter diseases
Lab abnormalities
Metabolic disorders
Multi-organ conditions
Structural kidney issues
Symptoms
Urine abnormalities
Urine symptoms
Vascular conditions
Vascular kidney issues
Most searched procedures
Consultations
Diagnostic tests
Diagnostics
Dialysis
Dialysis access
Diet and nutrition
Imaging
Infusions
Interventional procedures
Lab tests
Medication management
Medication therapy
Patient education
Prevention
Procedures
Specialized therapies
Supportive care
Surgical procedures
Transplant care
Vascular access
611 services · 280 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Dialysis services, 4 or more physician visits per month (20 years or older) | Treatment | 90960 |
111 | As often as other peers in Nephrology |
| Hemodialysis procedure with physician evaluation | Treatment | 90935 |
41 | As often as other peers in Nephrology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
218 | As often as other peers in Nephrology |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
65 | Less often than most peers in Nephrology |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
60 | As often as other peers in Nephrology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
58 | Less often than most peers in Nephrology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
47 | Less often than most peers in Nephrology |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
11 | Less often than most peers in Nephrology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Carlos Pena is a kidney specialist in Miami, FL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nephrology”.
NPI registry
Carlos Pena is listed at 16501 Nw 2Nd Ave, Miami, FL 33169. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (305) 354-4558. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Carlos Pena's National Provider Identifier is 1669435988. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Carlos Pena attended University Central del Caribe Escuela de Medicina, graduating in 1982. This comes from the CMS National Downloadable File.
CMS public data
Carlos Pena has 44 years experience. Calculated from a graduation year of 1982, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Carlos Pena provides treatments such as dialysis services, 4 or more physician visits per month and hemodialysis procedure with physician evaluation, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Carlos Pena. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.