Enrique Pena

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD480376 Issued in PA

Practice address

111 S Front St
Harrisburg, PA 17101-2010

Phone

(717) 988-0000

Fax

(717) 782-5716

NPI assigned

Apr 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, SC, TX, IA, PA5 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 5

Specialty

Emergency Medicine

Education

University of Wisconsin School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waterloo Emergency Physicians, LLCGroup PAC ID 5092246967, 21 clinicians

McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339

Merit-based Incentive Payment System (MIPS)

Final score

93.46 of 100Reported as group

Quality

92.17

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Merit-based Incentive Payment System (MIPS)

Final score

85.29 of 100Reported as group

Quality

80.31

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.83

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epena97860@directmcleodehealth.org
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: enrique.pena.1@33638.direct.athenahealth.com
• Direct secure messaging: epena3954465@direct.trinity-health.org

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.

• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433
  Medicare reassignment Care Compare group NPD
• Waterloo Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1649013038
  Medicare reassignment Care Compare group NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois Emergency Department

  • Emergency Medicine Physician
  • Du Bois, PA
  • NPI 1992802391
  Medicare reassignment NPD
• Elk Regional Health Center

  dba Penn Highlands Elk Emergency Group

  • Emergency Medicine Physician
  • Saint Marys, PA
  • NPI 1114460391
  Medicare reassignment NPD
• J C Blair Memorial Hospital

  • General Acute Care Hospital
  • Huntingdon, PA
  • NPI 1790996445
  Medicare reassignment NPD
• Pinnacle Health Emergency Department Services LLC

  • Emergency Medicine Physician
  • Harrisburg, PA
  • NPI 1487693404
  Medicare reassignment NPD
• Tyrone Hospital

  dba Penn Highlands Tyrone

  • Critical Access Hospital
  • Tyrone, PA
  • NPI 1659472447
  Medicare reassignment NPD
• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Medicare reassignment NPD
• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749
  Medicare reassignment NPD
• Des Moines River Physicians, LLC

  • Emergency Medicine Physician
  • Des Moines, IA
  • NPI 1720472442
  Medicare reassignment NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment NPD
• Park Hill Emergency Physician Services

  • Emergency Medicine Physician
  • Yonkers, NY
  • NPI 1396123360
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Penn State Health Lancaster Medical Center

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1013674266
  Care Compare affiliation
• Covenant Medical Center Inc

  dba MercyOne Waterloo Medical Center

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1891038485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "718-470-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "ENRIQUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "289905",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD480376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epena241069@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roselle Espera Pedro
• Mathews Skariah Peedikamalayil, B PHARM
• Thomas W Peightel, PT
• Sarah L Pelletier, PA-C
• Carrie Pena, LMT
• Amanda C Pendleton
• Aleesha Penica, RN
• Penn Home Care LLC
• Penn Medical EMS LLC
• Penn Medical Home Health Care LLC

• Emergency Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.