Individual provider Active NPI

Joseph Edward Saucedo, DO

  • Family Medicine Physician
  • Corsicana, TX
National Provider Identifier
1164485140
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8473 Issued in TX
Practice address
1115 W 2ND Ave Ste 1
Corsicana, TX 75110-3780
Phone
(903) 641-7943
Fax
(844) 299-0002
NPI assigned
Apr 10, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8473 TX Primary

Addresses

Primary practice location

1115 W 2ND Ave Ste 1
Corsicana, TX 75110-3780

Mailing address

1115 W 2ND Ave Ste 1
Corsicana, TX 75110-3780
Phone (903) 641-7943

Other identifiers 2

IdentifierTypeStateIssuer
84074XOtherTXBLUE CROSS
145219502MedicaidTX

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
I20040603001118 TX Practitioner - Family Practice 4082696943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

400 Hospital Dr
Suite 100
Corsicana, TX 75110-2489
Phone (903) 641-3830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8473TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Jan 23, 2004 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jun 5, 2018 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Jan 23, 2004 Accepting new patients
Texas Health Care, P.L.L.C. Family Medicine CurrentSince Jun 5, 2018 Accepting new patients
Educare Community Living Limited Partnership Past Accepting new patients
Educare Community Living Limited Partnership Past Accepting new patients

Locations

1115 W 2nd Ave
Ste 1
Corsicana, TX 75110
Phone (903) 641-7943

301 Hospital Dr
Corsicana, TX 75110
Phone (903) 872-4611

400 Hospital Dr
Ste 100
Corsicana, TX 75110
Phone (903) 641-3830

400 Hospital Dr
Ste 111
Corsicana, TX 75110
Phone (903) 461-7766

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: joseph.saucedo.1@29197.direct.athenahealth.com
  • Direct secure messaging: joseph.saucedo.1@8042.direct.athenahealth.com
  • Direct secure messaging: joseph.saucedo.p1@direct.thc.nextgenshare.com

Organizations & group practices 7

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

Hospital & facility affiliations 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1164485140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W 2ND AVE STE 1",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103780",
            "telephone_number": "903-641-7943",
            "fax_number": "844-299-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W 2ND AVE STE 1",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103780",
            "telephone_number": "903-641-7943",
            "fax_number": "844-299-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "84074X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145219502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.