Samuel Pena, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04603 Issued in TX

Practice address

4302 S Sugar Rd Ste 213
Edinburg, TX 78539-9140

Phone

(956) 378-6611

Fax

(956) 378-6070

NPI assigned

Mar 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

80.08 of 100Reported as group

Quality

55.39

Improvement activities

40

Cost

70.03

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Rio Grande Valley Orthopedic Center

  • Orthopaedic Surgery Physician
  • McAllen, TX
  • NPI 1619026507
  Medicare reassignment
• The University of Texas Rio Grande Valley

  • Physiological Laboratory
  • McAllen, TX
  • NPI 1376436998
  NPD
• University of Texas Rio Grande Valley

  • Family Medicine Physician
  • Edinburg, TX
  • NPI 1811436504
  NPD
• University of Texas Rio Grande Valley

  • Physiological Laboratory
  • Harlingen, TX
  • NPI 1689330649
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396917480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "956-378-6611",
            "fax_number": "956-378-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 S SUGAR RD STE 213",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399140",
            "telephone_number": "956-378-6611",
            "fax_number": "956-378-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SAMUEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3368243-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Pena, MS, LCDC, LPC
• Lora Lisa Pena, M.S., CCC-SLP
• Lorena Carolina Pena, R.D., L.D.
• Maria Elma Pena
• Patricia L. Pena, RD/LD
• Santa E. Pena, LPC
• Thelma Pena, FNP
• Victor Pena, PA
• Evelyn Perales, LPC
• Jennifer Perales, APRN-CNP

• Physician Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.