NPIMap

Organization Active NPI

Pedro J. Penalo, M.D., PLLC

  • Internal Medicine Physician
  • Weslaco, TX
National Provider Identifier
1043515166
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7842 Issued in TX
Legal business name
PEDRO J. PENALO, M.D., PLLC
Practice address
906 S Bridge Ave
Weslaco, TX 78596-7129
Phone
(956) 447-8600
Fax
(956) 447-0335
NPI assigned
Jan 20, 2011
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Pedro J Penalo, M.D.NPI 1104920859
Title
Physician/Owner
Phone
(956) 447-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X L7842 TX Primary

Addresses

Primary practice location

906 S Bridge Ave
Weslaco, TX 78596-7129

Mailing address

906 S Bridge Ave
Weslaco, TX 78596-7129
Phone (956) 447-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000611 TX Part B Supplier - Clinic/Group Practice 9032396445 Receives reassigned benefits from 9 practitioners
Practice locations: Weslaco, TX; Mercedes, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1043515166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S BRIDGE AVE",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967129",
            "telephone_number": "956-447-8600",
            "fax_number": "956-447-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S BRIDGE AVE",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785967129",
            "telephone_number": "956-447-8600",
            "fax_number": "956-447-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO J. PENALO, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "PENALO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "956-447-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.