Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ernesto Antonio Pena-Tejeda

Individual provider Physician Assistant · NPI 1619758620

Ernesto Antonio Pena-Tejeda is a Physician Assistant in Memphis, Tennessee. Graduated from Louisiana State University School of Medicine in Shreveport in 2023, 3 years ago. Practices with UT Medical Group Inc, a 95-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Tennessee.

Years since qualifying
3
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, TN
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

1068 Cresthaven Rd Ste 500
Memphis, TN 38119-0846
Phone: (901) 866-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 262 Danny Thomas Pl, Memphis, TN 38105-3678 — (901) 595-3300

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5999 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 338914 (LA)
Physician Assistant Taxonomy 363A00000X · Licence 5999 (TN)

Record details

NPI number1619758620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2023
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2023 (3 years in practice)
Group practice Ut Medical Group Inc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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