Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770013583 Individual Practitioner Male Practitioner

Dr. Jose Manuel Pena , MD

Pediatrics • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jose Pena, MD is a registered healthcare professional specializing in Pediatrics in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552274
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 125.070535

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Eric Amparan , MD

Student in an Organized Health Care Education/Training Program

NPI 1003501974

Doctor of Medicine (M.D.)

NPI 1013446921

Doctor of Osteopathic Medicine (D.O.)

Dr. Simrin Atwal , DO

Student in an Organized Health Care Education/Training Program

NPI 1053802751

Doctor of Osteopathic Medicine (D.O.)

NPI 1093120453

Doctor of Medicine (M.D.)

Dr. Sana Alnajjar , DO

Student in an Organized Health Care Education/Training Program

NPI 1093601783

Doctor of Osteopathic Medicine (D.O.)

Dr. Deboshruti Chakraborty , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1104753888

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552274)

📍
Updated Business Mailing Address June 14, 2017

Registered at 2401 W ALTA RD APT 602, PEORIA, IL 616151287 (Tel: 6029993249)

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as JOSE PENA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Pediatrics (License #125.070535 in IL)

🟢
Initial NPI Registration & Enumeration June 14, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770013583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: June 14, 2017
Sole Proprietor: Yes

Mailing Address

2401 W Alta Rd Apt 602

Peoria, IL 616151287

Phone: 6029993249

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.