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

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: August 09, 2026.

About Kevin Pena Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN PENA MD (NPI 1013630920) is an individual trauma surgery provider in Chicago, Illinois, licensed in Illinois (125.081092) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013630920
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameKEVIN PENACredential: MD
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1550 N Lake Shore Dr Apt 4dChicago, IL 60610-1638 · (347) 483-8753
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 25, 2022
NPI 1013630920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in IL · 125.081092
Definition
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.
1901 W HARRISON ST, Chicago, IL 60612

Secondary Practice Location 1

Location 11969 W Ogden Ave Apt 4DChicago, IL 60612-3765 · Phone (312) 864-6000 ext. 41552

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Pena Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Pena's NPI number?

The NPI number for Kevin Pena is 1013630920. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Kevin Pena located?

Kevin Pena practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Kevin Pena's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Kevin Pena enrolled in Medicare?

Yes. Kevin Pena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Pena was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.