Omar Jose Pena Lopez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N1058 Issued in TX

Practice address

410 South Broadway
Elsa, TX 78543-0000

Phone

(956) 262-9805

Fax

(956) 262-9233

NPI assigned

Mar 28, 2008

Last updated

Feb 10, 2014By the provider in NPPES

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omar.pena.lopez.1@16008.direct.athenahealth.com

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.

• McAllen Hospitalist Group, PLLC

  dba Valley Care Clinics

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976
  Medicare reassignment NPD
• Omar J Pena Lopez MD PA

  • Pediatrics Physician
  • Elsa, TX
  • NPI 1871859744
  NPD Authorized official
• Children's Physician Services of South Texas

  dba Plastic Reconstructive Surgical Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment
• Omar J Pena Lopez MD PA

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1134496474
  NPD
• McAllen Hospitals L P

  dba South Texas Health System

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1770573586
  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": "1391990400000",
    "number": "1619149762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SOUTH BROADWAY",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785430000",
            "telephone_number": "956-262-9805",
            "fax_number": "956-262-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SOUTH BROADWAY",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785430000",
            "telephone_number": "956-262-9805",
            "fax_number": "956-262-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA LOPEZ",
        "first_name": "OMAR",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201687501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Munoz, ASST SLP
• Molly Renae Myers, COTA
• Nyssa's Provider Services LLC (Nyssa's Home Health Therapy Services)
• Omar J Pena Lopez MD PA
• Our Communityprimary Home Care Services
• Marco Antonio Pena, APRN
• Samantha Jo Perales, PHARMD
• Performance Therapeutics - Elsa PLLC
• Performance Therapeutics-Elsa, PLLC
• Pharr Family Medical Center LLC

• Pediatrics Physician in Elsa, TX
• Providers in Elsa, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.