Organization Active NPI

Preston Medical Associates PA

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1083624571
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H8602 Issued in TX
Legal business name
PRESTON MEDICAL ASSOCIATES PA
Practice address
3211 Internet Blvd
Suite 280
Frisco, TX 75034-1944
Phone
(469) 633-9700
Fax
(469) 633-9701
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Pedro Elias Checo, MDNPI 1285656207
Title
President
Phone
(469) 633-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H8602 TX Primary

Addresses

Primary practice location

3211 Internet Blvd
Suite 280
Frisco, TX 75034-1944

Mailing address

3211 Internet Blvd
Suite 280
Frisco, TX 75034-1944
Phone (469) 633-9700

Other identifiers 2

IdentifierTypeStateIssuer
8F5000OtherTXBLUE CROSS PROVIDER #
0072HDOtherTXBLUE CROSS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060809000522 TX Part B Supplier - Clinic/Group Practice 2466455548 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3211 Internet Blvd
Ste 280
Frisco, TX 75034
Phone (469) 633-9700

7589 Preston Rd
Ste 800
Frisco, TX 75034
Phone (469) 633-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1083624571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 INTERNET BLVD",
            "address_2": "SUITE 280",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341944",
            "telephone_number": "469-633-9700",
            "fax_number": "469-633-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 INTERNET BLVD",
            "address_2": "SUITE 280",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341944",
            "telephone_number": "469-633-9700",
            "fax_number": "469-633-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "CHECO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-633-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "8F5000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "0072HD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.