DR. THAIS ODALIS QUELIZ PENA MD
NPI 1336487826
Pediatrics - Neonatal-Perinatal Medicine in Orlando, FL

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since January 18, 2013PECOS Enrolled

83 W MILLER ST, ORLANDO, FL 32806(321) 843-9792 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2016, Apr 1, 2016 (2 updates tracked since 2016).

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About Dr. Thais Odalis Queliz Pena Md NPPES

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

DR. THAIS ODALIS QUELIZ PENA MD (NPI 1336487826) is an individual neonatal-perinatal medicine provider in Orlando, Florida, licensed in Florida (ME115985) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336487826

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. THAIS ODALIS QUELIZ PENACredential: MD

Location Address83 W MILLER STOrlando, FL 32806-2031

Mailing Address1483 Lake Baldwin Ln, BOrlando, FL 32814-6744 · (646) 321-6200

Phone(321) 843-9792

Sole ProprietorYes

Enumeration DateJanuary 18, 2013

Last NPPES UpdateJune 23, 20162 updates tracked since enumeration

✔ NPI 1336487826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in FL · ME115985

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

83 W MILLER ST, Orlando, FL 32806

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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. Thais Odalis Queliz 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.