Individual provider Active NPI

Cesar B Pena-Rodriguez, MD

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1073576435
Registry record updated Nov 12, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Mar 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7105 Issued in TX
Practice address
610 W Centerville Rd Ste 200
Garland, TX 75041-5410
Phone
(469) 862-3763
Fax
(469) 862-3768
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7105 TX Primary

Addresses

Primary practice location

610 W Centerville Rd Ste 200
Garland, TX 75041-5410

Mailing address

610 W Centerville Rd Ste 200
Garland, TX 75041-5410
Phone (469) 862-3763

Other identifiers 3

IdentifierTypeStateIssuer
11370943OtherCHQH.ORG
202941OtherTXMEDICARE PROVIDER NUMBER
1073576435OtherNATIONAL PROVIDER IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
De la Paz Health Care Internal Medicine CurrentSince Jun 12, 2022 Accepting new patients
Forest Medical Care, P.a Past Accepting new patients
Dr. Cesar Pena MD, PA Internal Medicine PastSince Mar 1, 2018 Accepting new patients

Locations

710 E Centerville Rd
Garland, TX 75041
Phone (972) 905-3520

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1073576435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W CENTERVILLE RD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415410",
            "telephone_number": "469-862-3763",
            "fax_number": "469-862-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W CENTERVILLE RD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415410",
            "telephone_number": "469-862-3763",
            "fax_number": "469-862-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-RODRIGUEZ",
        "first_name": "CESAR",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHQH.ORG",
            "identifier": "11370943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "202941",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1073576435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.