Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619149762 Individual Practitioner Male Practitioner

Dr. Omar Jose Pena Lopez , MD

Pediatrics • Elsa, TX

Professional Overview & Biography Verified Profile Summary

Dr. Omar Pena Lopez, MD is a registered healthcare professional specializing in Pediatrics in Elsa, TX. Practice services are available at 410 SOUTH BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 South Broadway

Elsa, TX 785430000

Telephone 9562629805
Fax 9562629233
Associated Practice Facility / Clinic
🏢 Iris Well Child Physicals Facility NPI 1881834539

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Elsa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Elsa, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% 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 TX N1058

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201687501 (TX)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Iris Garcia , RN PNP

Nurse Practitioner

NPI 1285713180

RNPNP

Hervey Galvan , MPAS, PA-C

Physician Assistant - Medical

NPI 1629333786

MPAS, Physician Assistant (Certified)

Edwardo Bernal , FNP-BC

Nurse Practitioner - Family

NPI 1841733862

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2014

Registered at 410 SOUTH BROADWAY, ELSA, TX 785430000 (Tel: 9562629805)

📍
Updated Business Mailing Address February 10, 2014

Registered at 410 SOUTH BROADWAY, ELSA, TX 785430000 (Tel: 9562629805)

👤
Provider Name / Credentials Updated February 10, 2014

Recorded as OMAR PENA LOPEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2014

Pediatrics (License #N1058 in TX)

🟢
Initial NPI Registration & Enumeration March 28, 2008

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: 1619149762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2008
Last Update: February 10, 2014
Sole Proprietor: No

Mailing Address

410 South Broadway

Elsa, TX 785430000

Phone: 9562629805

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.