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DR. JOSE CALIXTO DE LA PENA MD
NPI 1154391977
Family Medicine in Millington, TN

Active since January 24, 2006PECOS Enrolled
5722 INTERGRITY DR., BLGD S771 (NBHC MIDSOUTH, MILLINGTON, TN 38054(901) 874-6143 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 (3 updates tracked since 2017).

About Dr. Jose Calixto De La Pena Md NPPES

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

DR. JOSE CALIXTO DE LA PENA MD (NPI 1154391977) is an individual family medicine provider in Millington, Tennessee, licensed in Tennessee (00053436) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154391977
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE CALIXTO DE LA PENACredential: MD
Location Address5722 INTERGRITY DR., BLGD S771 (NBHC MIDSOUTHMillington, TN 38054
Mailing Address4566 Nob Hill Dr.Arlington, TN 38002-5150 · (901) 249-7356
Phone(901) 874-6143
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1154391977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 00053436
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5722 INTERGRITY DR., Millington, TN 38054
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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. Jose Calixto De La 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jose De La Pena's NPI number?

The NPI number for Jose De La Pena is 1154391977. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Jose De La Pena located?

Jose De La Pena practices at 5722 Intergrity Dr. Blgd S771 (nbhc Midsouth, Millington, TN 38054. The listed phone number is (901) 874-6143.

What is Jose De La Pena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose De La Pena enrolled in Medicare?

Yes. Jose De La Pena is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose De La Pena was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.