DR. OCTAVIO A DE LA PENA M.D. NPI 1780643692

NPI Information

  • NPI: 1780643692
  • Provider Name: DR. OCTAVIO A DE LA PENA, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4401 COIT RD
    SITE 201
    FRISCO, TX
    ZIP 75035
  • Phone: (972) 335-7306

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NPI Details

DR. Octavio A De La Pena, M.D. is a gastroenterology internal medicine in Frisco, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Octavio A De La Pena, M.D. NPI is 1780643692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4401 COIT RD
SITE 201
FRISCO, TX
ZIP 75035-500
Phone: (972) 335-7306
Fax: (972) 335-7468

The NPI 1780643692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 5/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyK3150TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1142704901MEDICAIDTEXAS
2102131303MEDICAIDTEXAS
38B4310OTHERTEXASBCBSTX
4G46510MEDICARE UPINTEXAS
5100015142MEDICARE PINTEXAS
68012N0MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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