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

NPI Status: Active since May 19, 2014

Contact Information

3401 CIVIC CENTER BLVD
DIVISION OF GENERAL PEDIATRICS
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-2437

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About MICHELLE-MARIE PENA

This page provides the complete NPI Profile along with additional information for Michelle-marie Pena, a pediatrician established in Philadelphia, Pennsylvania with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1750792156 assigned on May 2014. The practitioner's primary taxonomy code is 208000000X with license number MD460754 (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1750792156
Provider Name
DR. MICHELLE-MARIE PENA M.D.
Gender
Female
Entity Type
Individual
Location Address
3401 CIVIC CENTER BLVD DIVISION OF GENERAL PEDIATRICS PHILADELPHIA, PA 19104
Location Phone
(215) 590-2437
Mailing Address
3401 CIVIC CENTER BLVD DIVISION OF GENERAL PEDIATRICS PHILADELPHIA, PA 19104
Mailing Phone
(215) 590-1220
Is Sole Proprietor?
No
Enumeration Date
05-19-2014
Last Update Date
07-21-2022
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A pediatrician like Michelle-marie Pena is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
MD460754
License State
PA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Michelle-marie Pena is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. MICHELLE-MARIE PENA M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750792156
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001494110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 4 + 1 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750792156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083650923 ELIZABETH A JAMME MD
Individual
Pediatrics3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1730118373 MEENA THAYU M.D.
Individual
Pediatrics (Pediatric Gastroenterology)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1679595409 RICHARD M DONNER M.D.
Individual
Pediatrics (Pediatric Cardiology)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1396767851 MARIANNE M GLANZMAN M.D.
Individual
Pediatrics (Developmental - Behavioral Pediatrics)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1417979147 ABIGAIL F FARBER M.D.
Individual
Pediatrics3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1619990454 BEVERLY J LANGE M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1740204312 PAUL J HONIG M.D.
Individual
Dermatology3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1184637217 ROSANNA POLLACK CRNP
Individual
Nurse Practitioner (Pediatrics)3401 CIVIC CENTER BLVD 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
(215) 590-4953
1497966915 MARIKO NAKANISHI MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1174713812 DANA SEPE M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1285818633 HENRY WELCH M.D.
Individual
Pediatrics3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1619143674 LISA DRINKER
Individual
Pediatrics (Neonatal-Perinatal Medicine)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-1000
1255676110 MATTHEW HOCKING
Individual
Psychologist (Clinical Child & Adolescent)3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
(215) 590-7555
1538404223 SYDNEY ANNE UPAH CRNP
Individual
Nurse Practitioner (Pediatrics)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
(215) 590-2727
1710223789 BLAIRE ALYSSA FRITZINGER CPNP
Individual
Nurse Practitioner (Pediatrics)3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
(215) 590-1000
1154668366 CATHERINE ASHLEY LEBO MSN, CRNP, FNP
Individual
Nurse Practitioner (Family)3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
(215) 590-1000
1366781767MISS TRACY AMANDA WALKER CRNP
Individual
Nurse Practitioner (Pediatrics)3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
(215) 590-3481
1306832118 PHILIP VINCENT SCRIBANO DO
Individual
Pediatrics3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILA - GENERAL PEDIATRICS
PHILADELPHIA, PA 19104
(215) 590-2164
1235127119 ALEXANDER DAVIDSON MD
Individual
Pediatrics (Pediatric Cardiology)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
(215) 590-4040
1376534651DR. SUDHA AYYALA ANUPINDI MD
Individual
Radiology (Pediatric Radiology)3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
PHILADELPHIA, PA 19104
(215) 590-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750792156, enumerated in the NPI registry 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

The provider's speciality is Pediatrics with taxonomy code 208000000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 19, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.