Individual provider Active NPI

Joy Susanne Peveto, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1215100615
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P2338 Issued in TX
Practice address
3600 Gaston Ave
Suite 300
Dallas, TX 75246-1800
Phone
(214) 824-3200
Fax
(214) 824-0541
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P2338 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Suite 300
Dallas, TX 75246-1800

Mailing address

1600 Republic Pkwy
Suite 160
Mesquite, TX 75150-6918
Phone (972) 613-6336

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
I20260401003979 TX Practitioner - Obstetrics/Gynecology 6507341062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2338TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotexas, PLLC Past Accepting new patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology PastSince Aug 15, 2024 Accepting new patients
Congenital Heart Surgery Center PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joy.peveto@txg063.digichart.direct-ci.com
  • Direct secure messaging: joy.peveto@hca7.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1215100615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 REPUBLIC PKWY",
            "address_2": "SUITE 160",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506918",
            "telephone_number": "972-613-6336",
            "fax_number": "972-613-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-824-3200",
            "fax_number": "214-824-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVETO",
        "first_name": "JOY",
        "middle_name": "SUSANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.