IndividualActive
Jose Pena, MD
NPI 1770013583 · Pediatrics Physician · Peoria, IL
Provider details
- NPI number
- 1770013583
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125.070535 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2274
Street-level locationGet directions
Mailing address
2401 W Alta Rd Apt 602
Peoria, IL 61615-1287
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2017-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.