Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MELISSA ORTIZ PENA MD
NPI 1043726920
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Melissa Ortiz Pena's NPI number?

The NPI number for Melissa Ortiz Pena is 1043726920. It was assigned to this individual provider in the NPPES registry on December 14, 2017.

Q: What is Melissa Ortiz Pena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since December 14, 2017PECOS Enrolled

12 EXECUTIVE PARK DR NE STE 142, ATLANTA, GA 30329(404) 727-4746 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Apr 26, 2026, May 24, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Melissa Ortiz Pena Md NPPES

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

DR. MELISSA ORTIZ PENA MD (NPI 1043726920) is an individual student in an organized health care education/training program in Atlanta, Georgia, licensed in Georgia (113548) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043726920

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MELISSA ORTIZ PENACredential: MD

Location Address12 EXECUTIVE PARK DR NE STE 142Atlanta, GA 30329-2206

Mailing AddressPo Box 29134San Juan, PR 00929-0134 · (787) 758-2525

Phone(404) 727-4746

Sole ProprietorNo

Enumeration DateDecember 14, 2017

Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1043726920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in GA · 113548

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 21320 (PR)

12 EXECUTIVE PARK DR NE STE 142, Atlanta, GA 30329

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Secondary Practice Locations 2

Location 112 Executive Park Dr NE Ste 142Atlanta, GA 30329-2206 · Phone (404) 727-4746

Location 2Univ of PR Medical Science Campus, Main Building Dept of Psychiatry Floor A-994San Juan, PR 00929-0134 · Phone (787) 758-2525 ext. 1923

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Ortiz 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.

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Other Providers at the Same Location NPPES 14

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

CAROLINA MEDEIROS M.D.

Psychiatry & Neurology (Psychiatry)