DR. CHARLES ALLEN DE PENA (M.D.) – Neuroradiology Physician, NPI 1568430171

DR. CHARLES ALLEN DE PENA (M.D.) is a healthcare provider. based in Aurora, Colorado. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. 34821 (IA). The NPI Number for DR. CHARLES ALLEN DE PENA (M.D.) is 1568430171

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES ALLEN DE PENA (M.D.)
NPI
1568430171
Phone
Not provided
Address
PO BOX 110429
Enumeration Date
9 March 2006
Last Update Date
28 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7205164085
Graduation Year
1983 (43 years ago)
PAC ID
3779577671
Group Practice PAC ID
5799021291
Professional Enrollment ID
I20210203000006
Address ID
CO801296688HI1500XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

933 DIAGNOSTIC RADIOLOGY in CO

Provider Addresses for DR. CHARLES ALLEN DE PENA (M.D.)

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • 12368, Stratford Drive, Clive, Polk County, Iowa, 50325, United States

    SUITE 300

    CLIVE, IA 503258162

    Phone: (515) 226-9810

    Fax: (515) 226-8408

    Type: Location

  • 4318, Oakwood Lane, Quail Park, West Des Moines, Polk County, Iowa, 50265, United States

    WEST DES MOINES, IA 502655423

    Phone: (515) 327-9077

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210203000006IDiagnostic RadiologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74177Ct scan of abdomen and pelvis with contrast114111$0
70450Ct scan head or brain without contrast9896$0
71260Ct scan of chest with contrast7673$0
70553Mri scan of brain before and after contrast4848$0
74176Ct scan of abdomen and pelvis without contrast3938$0
View full utilization report →

Insurance plans in this area (ZIP 80042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799021291View full group profile
NameSpecialtyState
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Interventional Radiology, Diagnostic RadiologyCA
Diagnostic RadiologyCO
Diagnostic RadiologyLA
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineCO
-NV
Diagnostic Radiology, Interventional Radiology, Nuclear Medicine, Pediatric MedicineCO
Diagnostic RadiologyCO
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineCO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHARLES ALLEN DE PENA (M.D.)'s NPI?
Yes. DR. CHARLES ALLEN DE PENA (M.D.) is listed with NPI 1568430171 in the public NPI dataset.
Does the file indicate DR. CHARLES ALLEN DE PENA (M.D.) is practicing under active NPI?
Directory data currently reports DR. CHARLES ALLEN DE PENA (M.D.) as active.
What is DR. CHARLES ALLEN DE PENA (M.D.) best known for clinically?
Directory data describes DR. CHARLES ALLEN DE PENA (M.D.) with Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. CHARLES ALLEN DE PENA (M.D.) list a practice location?
Patients near Aurora, Colorado may find DR. CHARLES ALLEN DE PENA (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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