Individual provider Active NPI

Elizabeth Pena, DO

  • Physical Medicine & Rehabilitation Physician
  • Pearland, TX
National Provider Identifier
1477809846
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q6895 Issued in TX
Practice address
2515 Business Center Dr
Pearland, TX 77584-2294
Phone
(713) 442-7200
NPI assigned
Aug 3, 2012
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Q6895 TX Primary

Addresses

Primary practice location

2515 Business Center Dr
Pearland, TX 77584-2294

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

1010 S Ponds Dr
Webster, TX 77598-1409
Phone (713) 442-4300

Other practice location 2

5001 E Sam Houston Pkwy S
Pasadena, TX 77505-3965
Phone (713) 442-7100

Other identifiers 1

IdentifierTypeStateIssuer
361100601MedicaidTX

Electronic endpoints 6

TypeEndpointUseAffiliation
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address epena21217@direct.kelsey-seybold.com Direct
Direct Messaging Address epena21217@direct.kelsey-seybold.com Direct
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address epena21217@direct.kelsey-seybold.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS, TN, IN, CT, IL, NY, PA, FL, DE, CA, MN, WA, AL, OH, MI, AZ, WI, NM, OK, MT, NJ, KY, RI, MO, LA, IA, VA, UT, GA, AR, WV, ID, NH, MA, ME, KS, NE, MD, NV, ND, NC, VT, SC, AK, DC, CO47 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 47

Enrollment IDStateProvider typePAC IDDetails
I20160819000963 TX Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 2 organizations
I20211130001703 MS Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20211202001322 TN Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20211210002302 IN Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20211217001899 CT Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20211221000875 IL Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20211227000791 NY Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20220105000760 PA Practitioner - Osteopathic Manipulative Medicine 0749575454 Reassigns benefits to 1 organization
I20220623000563 FL Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20220804000004 DE Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221007001477 CA Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 2 organizations
I20221018002563 MN Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221116002811 WA Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221121001404 AL Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221122002267 OH Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221129001964 MI Practitioner - Physical Medicine and Rehabilitation 0749575454
I20221202000002 AZ Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221213000169 WI Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221213003259 NM Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20221213003345 OK Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230116000361 MT Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230124000121 NJ Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230125000839 KY Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230127001031 RI Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230128000166 MO Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230206002331 LA Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230519002626 IA Practitioner - Physical Medicine and Rehabilitation 0749575454
I20230530001708 VA Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230601002497 UT Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230607001572 GA Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20230808001412 AR Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20231101001430 WV Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20231102001021 ID Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20231102001025 NH Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20231120003176 MA Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20231124000302 ME Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240302000279 KS Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240302000314 NE Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240307002265 MD Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240307004353 NV Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240307004369 ND Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240308000537 NC Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240308001275 VT Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240311001206 SC Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20240419003435 AK Practitioner - Physical Medicine and Rehabilitation 0749575454
I20240520002355 DC Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization
I20241004000692 CO Practitioner - Physical Medicine and Rehabilitation 0749575454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vori Health Medical Group PLLCGroup PAC ID 0143648501, 5 clinicians

Practice addresses (Care Compare)

10 Ferry St
Suite 313
Concord, NH 03301-5004
Phone (866) 719-9611

100 Charles Ewing Blvd
Suite 160
Ewing, NJ 08628-3456
Phone (866) 719-9611

100 N Main St
Suite 2
Barre, VT 05641-4150
Phone (866) 719-9611

100 Shockoe Slip
FL 2
Richmond, VA 23219-4100
Phone (866) 719-9611

10300 Greenbriar PL
Oklahoma City, OK 73159-7653
Phone (866) 719-9611

109 Executive Dr
Suite 3
Madison, MS 39110-8497
Phone (866) 719-9611

1100 SW Wanamaker Rd
Suite 103
Topeka, KS 66604-3805
Phone (866) 719-9611

112 N Curry St
Carson City, NV 89703-4934
Phone (866) 719-9611

1156 15TH St N W
Suite 605
Washington, DC 20005-1767
Phone (866) 719-9611

1201 Hays St
Tallahassee, FL 32301-2607
Phone (866) 719-9611

135 N Pennsylvania St
Suite 1600
Indianapolis, IN 46204-2428
Phone (866) 719-9611

15 W S Temple
Suite 600
Salt Lake City, UT 84101-1536
Phone (866) 719-9611

1601 N Turner St
Suite 420
Hobbs, NM 88240-4337
Phone (866) 719-9611

1900 W Littleton Blvd
Littleton, CO 80120-2023
Phone (866) 719-9611

2 Sun CT
Suite 400
Peachtree Corners, GA 30092-2865
Phone (866) 719-9611

211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (866) 719-9611

221 Bolivar St
Jefferson City, MO 65101-1572
Phone (866) 719-9611

222 Jefferson Blvd
Suite 200
Warwick, RI 02888-3855
Phone (866) 719-9611

233 S 13TH St
Suite 1900
Lincoln, NE 68508-2000
Phone (866) 719-9611

251 Little Falls Dr
Wilmington, DE 19808-1674
Phone (866) 719-9611

26 W 6TH Ave
Helena, MT 59601-5035
Phone (866) 719-9611

2626 Glenwood Ave
Suite 550
Raleigh, NC 27608-1370
Phone (866) 719-9611

300 Deschutes Way SW
Suite 208
Tumwater, WA 98501-7719
Phone (866) 719-9611

300 S Spring St
Suite 900
Little Rock, AR 72201-2425
Phone (866) 719-9611

315 High St
Frankfort, KY 40601-2110
Phone (866) 719-9611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3910WVMDDentist
Q6895TXMDPhysical Medicine & Rehabilitation Physician
2578NEMDPhysician Assistant
4534TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Physical Medicine & Rehabilitation CurrentSince Jul 22, 2016 Accepting new patients
Vori Health Medical Group Physical Medicine & Rehabilitation CurrentSince Sep 1, 2022 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Aug 9, 2025 Accepting new patients
Oshi Health Medical Group, P.a. PastSince Feb 1, 2024 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Jayapal a Reddy MD and Radha T Reddy MD Inc PastSince Jul 1, 2015 Accepting new patients

Locations

2035 Corte del Nogal
Carlsbad, CA 92011
Phone (909) 764-4360

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

2710 Gateway Oaks Dr
Ste 150N
Sacramento, CA 95833
Phone (817) 966-0621

82 Nassau St
New York, NY 10038
Phone (347) 625-3993

100 Powell Pl
#1441
Nashville, TN 37204

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

5001 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 442-7100

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

1010 S Ponds Dr
Webster, TX 77598
Phone (713) 442-4300

Interoperability endpoints

  • Direct secure messaging: epena21217@direct.kelsey-seybold.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1477809846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 BUSINESS CENTER DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842294",
            "telephone_number": "713-442-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S Ponds Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775981409",
            "country_code": "US",
            "telephone_number": "713-442-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 E Sam Houston Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053965",
            "country_code": "US",
            "telephone_number": "713-442-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q6895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361100601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5001 E Sam Houston Pkwy S",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775053965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epena21217@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2515 Business Center Dr",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775842294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epena21217@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5001 E Sam Houston Pkwy S",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775053965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2515 Business Center Dr",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775842294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1010 S Ponds Dr",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775981409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epena21217@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1010 S Ponds Dr",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775981409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.