Active NPI
Elizabeth Pena, DO
- Physical Medicine & Rehabilitation Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- Q6895
- Practice address
- 2515 Business Center Dr
Pearland, TX 77584-2294 - Phone
- (713) 442-7200
- NPI assigned
- Aug 3, 2012
- Last updated
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361100601 | Medicaid | TX |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 47
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3910 | WV | MD | Dentist |
| Q6895 | TX | MD | Physical Medicine & Rehabilitation Physician |
| 2578 | NE | MD | Physician Assistant |
| 4534 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Vori Health Medical Group | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Telehealth Specialty Medical Group | Current | Accepting new patients | |
| Oshi Health Medical Group, P.a. | Past | Accepting new patients | |
| Tele-Medicine Services Ny, PLLC | Past | Accepting new patients | |
| Jayapal a Reddy MD and Radha T Reddy MD Inc | Past | 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
- 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.
-
dba Vori Health
- Physical Medicine & Rehabilitation Physician
- Fairfield, CT
- NPI 1801409198
AL, AR, AZ, CO, DC, DE, FL, GA, ID, IL, IN, KS, KY, LA, MD, ME, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, PA, RI, SC, TN, TX, UT, VA, VT, WA, WI, WV
-
dba Kelsey Seybold Clinic
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Physical Medicine & Rehabilitation
-
dba TeleMed2U
- Emergency Medicine Physician
- Roseville, CA
- NPI 1326338237
-
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1144894841
CA
-
dba Vori Health
- Physical Medicine & Rehabilitation Physician
- Boston, MA
- NPI 1750042057
-
- Physical Medicine & Rehabilitation Physician
- Fairfield, CT
- NPI 1427636042
NY
-
- Specialist
- Rancho Cucamonga, CA
- NPI 1881937068
-
- Gastroenterology Physician
- New York, NY
- NPI 1174287700
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.