KEITH E PENERA (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1982834347

KEITH E PENERA (D.P.M.) is a healthcare provider. based in San juan capistrano, California. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. EL1784 (CA). The NPI Number for KEITH E PENERA (D.P.M.) is 1982834347

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
KEITH E PENERA (D.P.M.)
NPI
1982834347
Phone
(949) 661-9600
Address
31001 RANCHO VIEJO RD STE 200
Enumeration Date
20 July 2009
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
6572418455
Graduation Year
2009 (17 years ago)
PAC ID
3870747181
Group Practice PAC ID
8729277314
Professional Enrollment ID
I20130213000272
Address ID
CA926373435LA24268RDXX400

Contacts

FHIR Endpoint
https://memorialcare.org/fhir/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:16State licenses:2Other names

1,833 PODIATRY in CA

Provider Addresses for KEITH E PENERA (D.P.M.)

  • 31001 RANCHO VIEJO RD STE 200

    SAN JUAN CAPISTRANO, CA 926758704

    Phone: (949) 661-9600

    Fax: (949) 443-6200

    Type: Mailing

  • Magnolia Street, Huntington Beach, Orange County, California, 92655, United States

    HUNTINGTON BEACH, CA 926462232

    Phone: (714) 968-0068

    Type: Mailing

  • 18080 BEACH BLVD STE 102

    HUNTINGTON BEACH, CA 926481343

    Phone: (714) 841-5055

    Fax: (714) 841-9595

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Stryker Corporation ($57).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130213000272IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes5555$0
11721Removal of fingernails or toenails, 6 or more nails4731$0
99213Established patient office or other outpatient visit, 20-29 minutes4635$0
99202New patient office or other outpatient visit, 15-29 minutes1111$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 92675)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729277314View full group profile
NameSpecialtyState
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Nurse PractitionerCA
Internal MedicineCA
Internal Medicine, Pediatric MedicineCA
Neurology, Internal MedicineCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

Where can patients find KEITH E PENERA (D.P.M.)'s NPI?
You can confirm KEITH E PENERA (D.P.M.) with NPI 1982834347; it appears in the national provider directory.
Is KEITH E PENERA (D.P.M.)'s NPI currently valid?
The extract we use shows KEITH E PENERA (D.P.M.) as active.
What does KEITH E PENERA (D.P.M.) treat or focus on?
Patients typically see KEITH E PENERA (D.P.M.) under the specialty Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Does KEITH E PENERA (D.P.M.) practice in California?
You will see San Juan Capistrano, California on file for KEITH E PENERA (D.P.M.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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