DENNIS REY PENA D.P.M.
NPI 1376638783
Podiatrist - Foot & Ankle Surgery in Phoenix, AZ

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
4212 N. 16TH ST., PHOENIX, AZ 85016(602) 263-1200(602) 200-5383 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dennis Rey Pena D.p.m. NPPES

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

DENNIS REY PENA D.P.M. (NPI 1376638783) is an individual foot & ankle surgery provider in Phoenix, Arizona, licensed in California (E 3916) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1376638783
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDENNIS REY PENACredential: D.P.M.
Location Address4212 N. 16TH ST.Phoenix, AZ 85016
Mailing Address4212 N. 16th St.Phoenix, AZ 85016 · (602) 263-1200 · Fax (602) 200-5383
Fax(602) 200-5383
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1991
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 27, 2011
✔ NPI 1376638783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E 3916
4212 N. 16TH ST., Phoenix, AZ 85016

Other Identifiers 4

Medicaid424325AZ
Medicare UPINU86362AZ
Medicare OSCAR/certification8HZ99EAZ
OtherAZ0194780AZ · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dennis Rey Pena D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183514722
PECOS Enrollment IDI20061127000394
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.

Medicare Billing Reassignment

Medicare enrollment records show Dennis Pena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatrist
10007 N 1ST AVE
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4212 N. 16TH ST.
PHOENIX, AZ 85016
Pharmacist
4212 N. 16TH ST.
PHOENIX, AZ 85016
Dental Hygienist
4212 N. 16TH ST.
PHOENIX, AZ 85016

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 Dennis Pena's NPI number?

The NPI number for Dennis Pena is 1376638783. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Dennis Pena located?

Dennis Pena practices at 4212 N. 16th St., Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Dennis Pena's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Dennis Pena enrolled in Medicare?

Yes. Dennis Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dennis Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Pena reassigns Medicare benefits to Rampertab Podiatry Onsite Podiatry Services (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dennis Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dennis Pena was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.