DR. KARLOS PENA – Foot & Ankle Surgery Podiatrist, NPI 1366020687

DR. KARLOS PENA is a healthcare provider. based in Royal palm beach, Florida. specializing in PODIATRY. They hold a License No. 4525 (FL). The NPI Number for DR. KARLOS PENA is 1366020687

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KARLOS PENA
NPI
1366020687
Phone
(561) 295-8009
Address
11412 OKEECHOBEE BLVD
Enumeration Date
30 March 2021
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617936170
Graduation Year
2021 (5 years ago)
PAC ID
5698210896
Group Practice PAC ID
7315927316
Professional Enrollment ID
I20240711004123
Address ID
FL334118722RO11412BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. KARLOS PENA

  • 11412 OKEECHOBEE BLVD

    ROYAL PALM BEACH, FL 334118722

    Phone: (561) 295-8009

    Type: Mailing

  • 308 WILLOW AVE

    HOBOKEN, NJ 070303808

    Phone: (201) 418-1189

    Type: Mailing

  • 308 Willow Ave

    Hoboken, NJ 070303808

    Phone: (201) 418-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,989.

Total Amount is formed as General ($1,989) + Research ($0) + Ownership ($0) = $1,989.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($1,385).

Total Amount

$1,989

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,989

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2024-07-11

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
I20240711004123IPodiatryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33411)

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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: 7315927316View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P A T H O L O G YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What NPI should I save for DR. KARLOS PENA?
Save NPI 1366020687 if you need a stable reference for DR. KARLOS PENA.
Is DR. KARLOS PENA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KARLOS PENA?
The page reflects Foot & Ankle Surgery Podiatrist for DR. KARLOS PENA. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KARLOS PENA?
The page summarizes Royal Palm Beach, Florida for DR. KARLOS PENA; expand the address list for detail.
Is DR. KARLOS PENA a real provider?
This page reflects official NPPES data for NPI 1366020687. Always confirm identity and privileges with the practice and licensing boards.

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