Individual provider Active NPI

Euglis C Pena, ARNP

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1023216389
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP116800 Issued in TX
Practice address
20403 FM 529 Rd Ste 200
Cypress, TX 77433-5379
Phone
(281) 656-4041
Fax
(281) 861-0343
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 739810 TX
Family Nurse Practitioner 363LF0000X AP116800 TX Primary

Addresses

Primary practice location

20403 FM 529 Rd Ste 200
Cypress, TX 77433-5379

Mailing address

222 W. Las Colinas Blvd
Suite 2000
Irving, TX 75039
Phone (972) 957-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000465 TX Practitioner - Nurse Practitioner 0547338543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians

Practice addresses (Care Compare)

10058 A Long Point Rd
Houston, TX 77055-4002
Phone (832) 380-3980

8225 Broadway St
Houston, TX 77061-1201
Phone (713) 469-4735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP116800TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Jan 12, 2016 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Longwood Medical Group PA Past Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients

Locations

20403 FM 529 Rd
Ste 200
Cypress, TX 77433
Phone (281) 656-4041

12377 Merit Dr
Ste 300
Dallas, TX 75251

10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980

5230 Aldine Mail Rte
Houston, TX 77039
Phone (281) 598-3300

6812 Harrisburg Blvd
Houston, TX 77011
Phone (713) 715-4460

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1023216389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W. LAS COLINAS BLVD",
            "address_2": "SUITE 2000",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "972-957-3000",
            "fax_number": "972-236-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 FM 529 RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335379",
            "telephone_number": "281-656-4041",
            "fax_number": "281-861-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "EUGLIS",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "739810",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP116800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.