Active NPI
Enrique B Pena, M.D.
- Physical Medicine & Rehabilitation Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- N7650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219476302 | Medicaid | TX |
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
Enrollment records 1
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
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
- Post Acute Medical at Luling LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7650 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Seton Family of Doctors | Current | 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
- 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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
Physical Medicine & Rehabilitation
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Neurological Surgery Physician
- Kyle, TX
- NPI 1730412388
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kyle, TX
- NPI 1619115383
-
- Long Term Care Hospital
- Luling, TX
- NPI 1114962842
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.