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NICOLAS DE LA PENA MD INC
NPI 1578831996
Clinic/Center - Health Service in Merced, CA

Active since December 13, 2011
3389 G ST, SUITE A, MERCED, CA 95340(209) 722-1205(209) 722-7833 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicolas De La Pena Md Inc NPPES

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

NICOLAS DE LA PENA MD INC (NPI 1578831996) is a healthcare organization registered as a health service in Merced, California and active in the NPI registry since December 2011. The organization lists Nicolas R Dela Pena, President, as its authorized official.

NPPES Registry Identity

NPI1578831996
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameNICOLAS DE LA PENA MD INC
Location Address3389 G ST, SUITE AMerced, CA 95340-0981
Mailing Address3389 G St, Suite AMerced, CA 95340-0981 · (209) 722-1205 · Fax (209) 722-7833
Phone(209) 722-1205
Fax(209) 722-7833
Organization SubpartNo
Authorized OfficialNicolas R Dela PenaPresident · (209) 722-1205
Enumeration DateDecember 13, 2011
✔ NPI 1578831996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CA · A61619
3389 G ST, Merced, CA 95340
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING01585

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas De La Pena Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120126000703Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicolas De La Pena MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicolas Dela Pena, M.D.
Infectious Disease
NPI 1043204605
3389 G ST SUITE A
Merced, CA 95340
(209) 722-1205
✔ PECOS✔ Accepts Medicare1.5 mi

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

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 Nicolas De La Pena MD Inc's NPI number?

The NPI number for Nicolas De La Pena MD Inc is 1578831996. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Nicolas De La Pena MD Inc located?

Nicolas De La Pena MD Inc is located at 3389 G St Suite A, Merced, CA 95340. The listed phone number is (209) 722-1205.

What is Nicolas De La Pena MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Nicolas De La Pena MD Inc enrolled in Medicare?

Yes. Nicolas De La Pena MD Inc is registered in the Medicare PECOS enrollment system.

When is Nicolas De La Pena MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nicolas De La Pena MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Nicolas De La Pena MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicolas De La Pena MD Inc was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.