Individual provider Active NPI

Pedro Daniel Paez, MD

  • General Practice Physician
  • Bedford, TX
National Provider Identifier
1235765181
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
S9958 Issued in TX
Practice address
2208 Murphy Dr Apt 704
Bedford, TX 76021-5912
Phone
(214) 534-7665
NPI assigned
Mar 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME138423 FL
General Practice Physician 208D00000X S9958 TX Primary

Addresses

Primary practice location

2208 Murphy Dr Apt 704
Bedford, TX 76021-5912

Mailing address

2208 Murphy Dr Apt 704
Bedford, TX 76021-5912
Phone (214) 534-7665

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
I20220524002212 TX Practitioner - General Practice 7315324753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doorstep Procare Management LLCGroup PAC ID 8527366889, 11 clinicians
Mobile Med Visit Management LLCGroup PAC ID 1557723137, 3 clinicians

Practice addresses (Care Compare)

2944 Motley Dr
Suite 401
Mesquite, TX 75150-3464
Phone 9722892273107

5068 W Plano Pkwy
Suite 295a
Plano, TX 75093-4408
Phone (469) 999-5949

Hospital & facility affiliations

  • Vika Medical Services LLC Home health agency, Van Alstyne, TX, CCN 747948
  • Alive Home Health Care Home health agency, Garland, TX, CCN 747048
  • Divine Roses Home Health and Palliative Care Inc Home health agency, Carrollton, TX, CCN 747405
  • Timely Care Home Health Home health agency, Richardson, TX, CCN 679789
  • Noah'S Ark Home Healthcare Inc Home health agency, Arlington, TX, CCN 747620

Merit-based Incentive Payment System (MIPS)

Final score
5.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
19.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138423FLMDPediatrics Physician
S9958TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Med Visit Management LLC General Practice CurrentSince May 17, 2023 Accepting new patients
Prime Group Medical Clinic LLC CurrentSince Nov 5, 2024 Accepting new patients
Doorstep Procare Management LLC General Practice CurrentSince May 17, 2022 Accepting new patients

Locations

12035 Shiloh Rd
Ste 310
Dallas, TX 75228
Phone 9722892273107

3224 Interstate 30
Ste 148
Mesquite, TX 75150
Phone (469) 438-4493

2944 Motley Dr
Ste 401
Mesquite, TX 75150
Phone (972) 289-2273

5068 W Plano Pkwy
Ste 295A
Plano, TX 75093
Phone (469) 999-5949

275 W Campbell Rd
Ste 325C
Richardson, TX 75080
Phone (972) 666-0786

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.

Hospital & facility affiliations 5

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": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1235765181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 MURPHY DR APT 704",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215912",
            "telephone_number": "214-534-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 MURPHY DR APT 704",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215912",
            "telephone_number": "214-534-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "PEDRO",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME138423",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "S9958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.