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: July 19, 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
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

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. 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.

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.

Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750792156, enumerated as an "individual" on May 19, 2014.

The provider is located at 3401 CIVIC CENTER BLVD DIVISION OF GENERAL PEDIATRICS PHILADELPHIA, PA 19104 and the phone number is (215) 590-2437.

Pediatrics with taxonomy code 208000000X.