Organization Active NPI

Raul Adrian Pena MD PA

  • Ophthalmology Physician
  • McAllen, TX
National Provider Identifier
1407037633
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RAUL ADRIAN PENA MD PA
Practice address
1400 E Ridge Rd
Suite 10
McAllen, TX 78503-1535
Phone
(956) 661-8733
Fax
(956) 661-8724
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Raul A. Pena, M.D.NPI 1164456943
Title
Owner
Phone
(951) 661-8733

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1400 E Ridge Rd
Suite 10
McAllen, TX 78503-1535

Mailing address

1400 E Ridge Rd
Suite 10
McAllen, TX 78503-1535
Phone (956) 661-8733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004000644 TX Part B Supplier - Clinic/Group Practice 9739114141 Receives reassigned benefits from 4 practitioners
Practice locations: Harlingen, TX; McAllen, TX

National Provider Directory

National Provider Directory

Locations

1306 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 264-1200

1515 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 423-2773

1400 E Ridge Rd
Ste 10
McAllen, TX 78503
Phone (956) 661-8733

Interoperability endpoints

  • Direct secure messaging: vgutierrez@penaeye.intellechartdirect.net
  • Direct secure messaging: rpena@penaeye.intellechartdirect.net
  • Direct secure messaging: sflores@penaeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1407037633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD",
            "address_2": "SUITE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031535",
            "telephone_number": "956-661-8733",
            "fax_number": "956-661-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD",
            "address_2": "SUITE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031535",
            "telephone_number": "956-661-8733",
            "fax_number": "956-661-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL ADRIAN PENA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-661-8733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.