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DR. OMAR JOSE PENA LOPEZ M.D.
NPI 1619149762
Pediatrics in Elsa, TX

Active since March 28, 2008PECOS EnrolledCLIA 45D2042107 · Waiver
410 SOUTH BROADWAY, ELSA, TX 78543(956) 262-9805(956) 262-9233 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Omar Jose Pena Lopez M.d. NPPES

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

DR. OMAR JOSE PENA LOPEZ M.D. (NPI 1619149762) is an individual pediatrics provider in Elsa, Texas, licensed in Texas (N1058) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through June 5, 2028.

NPPES Registry Identity

NPI1619149762
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. OMAR JOSE PENA LOPEZCredential: M.D.
Location Address410 SOUTH BROADWAYElsa, TX 78543-0000
Mailing Address410 South BroadwayElsa, TX 78543-0000 · (956) 262-9805 · Fax (956) 262-9233
Phone(956) 262-9805
Fax(956) 262-9233
Sole ProprietorNo
Enumeration DateMarch 28, 2008
Last NPPES UpdateFebruary 10, 2014
✔ NPI 1619149762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · N1058
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
410 SOUTH BROADWAY, Elsa, TX 78543
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Other Identifiers 1

Medicaid201687501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Jose Pena Lopez M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Omar Pena Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcallen Hospitalist Group, PLLC
14 mi
Internal Medicine
1400 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1356361976 (956) 388-2187
Children's Physician Services Of South Texas
107 mi
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
NPI 1568658227 (361) 694-4444

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2042107

Omar J Pena Lopez, MD PA Elsa Children's Clinic · Elsa, TX
Active · expires Jun 5, 2028
CLIA Number45D2042107
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorOmar Jose Pena Lopez
Laboratory Phone(956) 262-9805
Laboratory LocationOmar J Pena Lopez, MD PA Elsa Children's Clinic410 S Broadway, Elsa, TX 78543
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78543 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Omar Pena Lopez's NPI number?

The NPI number for Omar Pena Lopez is 1619149762. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Omar Pena Lopez located?

Omar Pena Lopez practices at 410 South Broadway, Elsa, TX 78543. The listed phone number is (956) 262-9805.

What is Omar Pena Lopez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Omar Pena Lopez enrolled in Medicare?

Yes. Omar Pena Lopez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Omar Pena Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Pena Lopez reassigns Medicare benefits to 2 organizations: Mcallen Hospitalist Group, PLLC (Edinburg, TX) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each 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 Omar Pena Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Omar Pena Lopez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2042107) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Omar Pena Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Omar Pena Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omar Pena Lopez was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.