KEVIN PENA MD
NPI 1013630920
Surgery - Trauma Surgery in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.

Active since September 26, 2022PECOS Enrolled

1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Surgery
Trauma Surgery
PECOS Enrolled

About KEVIN PENA

This page provides the complete NPI Profile along with additional information for Kevin Pena, a provider established in Chicago, Illinois with a medical specialization in Surgery, focusing in trauma surgery . The healthcare provider is registered in the NPI registry with number 1013630920 assigned on September 2022. The practitioner's primary taxonomy code is 2086S0127X with license number 125.081092 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1013630920 Verify this NPI
Provider Name: KEVIN PENA MD
Gender: Male
Entity Type: Individual
Location Address: 1901 W HARRISON ST CHICAGO, IL 60612
Location Phone: (312) 864-6000
Mailing Address: 1550 N LAKE SHORE DR APT 4D CHICAGO, IL 60610
Mailing Phone: (347) 483-8753
Is Sole Proprietor?: No
Enumeration Date: 09-26-2022
Last Update Date: 09-26-2022
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Location Map

Secondary Locations

1969 W Ogden Ave Apt 4D
Chicago, IL 60612
(312) 864-6000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery Trauma Surgery
Taxonomy Code: 2086S0127X
Type: Allopathic & Osteopathic Physicians
License No.: 125.081092
License State: IL
Taxonomy Description: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Medicare Participation & PECOS Enrollment Status

Kevin Pena is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.