DR. EMMANUEL PENA (D.O.) – Child Abuse Pediatrics Physician, NPI 1063701274

DR. EMMANUEL PENA (D.O.) is a healthcare provider. based in Jacksonville, Florida. specializing in Child Abuse Pediatrics Physician. They hold the professional credentials D.O.. They hold a License No. OS12734 (FL). The NPI Number for DR. EMMANUEL PENA (D.O.) is 1063701274

Main info

Male
Name
DR. EMMANUEL PENA (D.O.)
NPI
1063701274
Phone
(904) 603-4199
Address
841 PRUDENTIAL DR
Enumeration Date
29 March 2011
Last Update Date
7 June 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:15State licenses:3Digital endpointsOther names

Provider Addresses for DR. EMMANUEL PENA (D.O.)

  • 841 PRUDENTIAL DR

    SUITE 1130

    JACKSONVILLE, FL 322078329

    Phone: (904) 603-4199

    Fax: (904) 633-4188

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: ABBVIE INC. ($40).

Total Amount

$40

General + Research + Ownership

Payments

1

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$40
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32207)

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Reviews

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Frequently asked questions

How do I look up DR. EMMANUEL PENA (D.O.) by NPI?
Use NPI 1063701274 when you need to reference DR. EMMANUEL PENA (D.O.) in forms, claims, or directories.
Does this profile mean DR. EMMANUEL PENA (D.O.) is currently active?
Yes — DR. EMMANUEL PENA (D.O.) appears active in the national provider directory.
Can you summarize DR. EMMANUEL PENA (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. EMMANUEL PENA (D.O.) with Child Abuse Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. EMMANUEL PENA (D.O.)?
We surface Jacksonville, Florida for DR. EMMANUEL PENA (D.O.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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