Individual provider Active NPI

Theodore G Pettle, MD

  • Gastroenterology Physician
  • McAllen, TX
National Provider Identifier
1003102211
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME139195 Issued in FL
Practice address
1801 S 5TH St Ste 114
McAllen, TX 78503-2919
Phone
(956) 616-5427
Fax
(956) 928-9247
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME139195 FL Primary
Gastroenterology Physician 207RG0100X R6457 TX

Addresses

Primary practice location

1801 S 5TH St Ste 114
McAllen, TX 78503-2919

Mailing address

1801 S 5TH St Ste 114
McAllen, TX 78503-2919
Phone (956) 616-5427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702000230 TX Practitioner - Gastroenterology 0840415592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAllen Hospitalist Group PLLCGroup PAC ID 9830113836, 106 clinicians

Practice addresses (Care Compare)

1801 S 5TH St
Suite 214
McAllen, TX 78503-2932
Phone (956) 616-5427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as group
Quality
50.62
Promoting interoperability
95
Improvement activities
20
Cost
73.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy72
Upper gastrointestinal (GI) endoscopy for acid reflux240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME139195FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC CurrentSince Jul 2, 2018 Accepting new patients
Heart Clinic, PLLC Past Accepting new patients

Locations

4302 S Sugar Rd
Ste 100
Edinburg, TX 78539
Phone (956) 292-0570

4302 S Sugar Rd
Ste 205
Edinburg, TX 78539
Phone (956) 287-0459

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1801 S 5th St
Ste 114
McAllen, TX 78503
Phone (956) 362-8400

1801 S 5th St
Ste 214
McAllen, TX 78503
Phone (956) 616-5427

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1003102211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST STE 114",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032919",
            "telephone_number": "956-616-5427",
            "fax_number": "956-928-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST STE 114",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032919",
            "telephone_number": "956-616-5427",
            "fax_number": "956-928-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTLE",
        "first_name": "THEODORE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME139195",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R6457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.