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DR. MICHELLE-MARIE PENA M.D.
NPI 1750792156
Pediatrics in Philadelphia, PA

Active since May 19, 2014PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF GENERAL PEDIATRICS, PHILADELPHIA, PA 19104(215) 590-2437 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 18, 2017 (2 updates tracked since 2017).

About Dr. Michelle-marie Pena M.d. NPPES

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

DR. MICHELLE-MARIE PENA M.D. (NPI 1750792156) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD460754) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750792156
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHELLE-MARIE PENACredential: M.D.
Location Address3401 CIVIC CENTER BLVD, DIVISION OF GENERAL PEDIATRICSPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, Division Of General PediatricsPhiladelphia, PA 19104-4319 · (215) 590-1220
Phone(215) 590-2437
Sole ProprietorNo
Enumeration DateMay 19, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1750792156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD460754
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.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Michelle-marie Pena 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 Michelle-marie Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care Associates, Inc
Same address
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000
Emory Medical Care Foundation Inc
664 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Michelle-marie Pena's NPI number?

The NPI number for Michelle-marie Pena is 1750792156. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Michelle-marie Pena located?

Michelle-marie Pena practices at 3401 Civic Center Blvd Division Of General Pediatrics, Philadelphia, PA 19104. The listed phone number is (215) 590-2437.

What is Michelle-marie Pena's specialty?

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

Is Michelle-marie Pena enrolled in Medicare?

Yes. Michelle-marie Pena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle-marie Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle-marie Pena reassigns Medicare benefits to 2 organizations: Childrens Health Care Associates, Inc (Philadelphia, PA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Michelle-marie Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle-marie Pena accept?

Health plans from Oscar Health list Michelle-marie Pena 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 Michelle-marie Pena was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.