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

Q: 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.

Q: What is Omar Pena Lopez's specialty?

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

Q: 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 3 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.