Individual provider Active NPI

Enrique B Pena, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1003922964
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N7650 Issued in TX
Practice address
1004 W 32ND St Ste 200
Austin, TX 78705-1918
Phone
(512) 324-3580
Fax
(512) 324-3581
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N7650 TX Primary

Addresses

Primary practice location

1004 W 32ND St Ste 200
Austin, TX 78705-1918

Mailing address

1400 N Ih 35
Suite 300
Austin, TX 78701-1926
Phone (512) 324-8300

Other practice location 1

1400 N Ih 35 Ste 300
Austin, TX 78701-1926
Phone (512) 324-3580

Other practice location 2

1101 S Capital Of Texas Hwy Ste 100
West Lake Hills, TX 78746-6445
Phone (512) 503-7399

Other identifiers 1

IdentifierTypeStateIssuer
219476302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000229 TX Practitioner - Physical Medicine and Rehabilitation 7315944626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

130 Hays St
Luling, TX 78648-3207

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

5103 Kyle Ctr Dr
Kyle, TX 78640-6164

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • Post Acute Medical at Luling LLC Long-term care hospital, Luling, TX, CCN 452062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N7650TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Oct 1, 2010 Accepting new patients
Seton Family of Doctors Physical Medicine & Rehabilitation Current Accepting new patients
Seton Family of Doctors CurrentSince Oct 1, 2010 Accepting new patients

Locations

1600 W 38th St
Ste 200
Austin, TX 78731
Phone (512) 324-3580

1004 W 32nd St
Ste 200
Austin, TX 78705
Phone (512) 324-3580

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

5235 Overpass Rd
Ste 100
Buda, TX 78610
Phone (512) 324-3580

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: enrique.pena.1@8363.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1003922964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-324-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051918",
            "telephone_number": "512-324-3580",
            "fax_number": "512-324-3581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Ih 35 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011926",
            "country_code": "US",
            "telephone_number": "512-324-3580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Capital Of Texas Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787466445",
            "country_code": "US",
            "telephone_number": "512-503-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "ENRIQUE",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N7650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219476302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.