Sandra Pena, MD

Public-record details

Address

202 Lake Miriam Dr Ste 1, Lakeland, FL 33813

Phone

(866) 400-3376

Listed under

Individual clinicians

NPI

1427587740

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Dermatology (207N00000X)

Credentials listed

MD

License number on NPI record

ME162739 (FL)

NPI first issued

Jun 8, 2017

Years since NPI first issued

9 years (since 2017)

License state on NPI record

FL

NPI record last updated

Aug 24, 2023

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Professional school graduation (CMS)

2017 (9 years ago)

Professional school (CMS)

Cooper Medical College

Medicare group practice (CMS)

Leavitt Medical Associates of Florida INC (198 clinicians)

Practice locations on file with Medicare (CMS)

2

NPI 1427587740 is active in the federal NPPES registry (CMS) with Dermatology as its self-reported primary taxonomy; license ME162739 (FL) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1427587740 in the official registry ↗