SANDRA MARIE PENA MD
NPI 1932563996
Family Medicine in Oak Park, IL
About Sandra Marie Pena Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA MARIE PENA MD (NPI 1932563996) is an individual family medicine provider in Oak Park, Illinois, licensed in Illinois (036.150456) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2016).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandra Marie Pena Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILEdward Hospital
Acute Care Hospitals · Naperville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sandra Pena's NPI number?
The NPI number for Sandra Pena is 1932563996. It was assigned to this individual provider in the NPPES registry on April 6, 2016.
Where is Sandra Pena located?
Sandra Pena practices at 932 Lake St Ste 300, Oak Park, IL 60301. The listed phone number is (331) 221-1700.
What is Sandra Pena's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sandra Pena enrolled in Medicare?
Yes. Sandra Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Sandra Pena accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sandra 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.
Is Sandra Pena affiliated with any hospitals?
According to CMS data, Sandra Pena is affiliated with Elmhurst Memorial Hospital and Edward Hospital.
When was this NPI record last updated?
The NPPES record for Sandra Pena was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
