Active NPI
Pedro Daniel Paez, MD
- General Practice Physician
- Bedford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- S9958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Alive Home Health Care
- Divine Roses Home Health and Palliative Care Inc
- Timely Care Home Health
- Noah'S Ark Home Healthcare Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 5.8 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 19.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138423 | FL | MD | Pediatrics Physician |
| S9958 | TX | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Med Visit Management LLC | General Practice | Current | Accepting new patients |
| Prime Group Medical Clinic LLC | Current | Accepting new patients | |
| Doorstep Procare Management LLC | General Practice | Current | 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.
-
- General Practice Physician
- Mesquite, TX
- NPI 1275996860
-
- General Practice Physician
- Richardson, TX
- NPI 1841982436
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1629749783
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Garland, TX
- NPI 1275722332
-
- Home Health Agency
- Carrollton, TX
- NPI 1407001928
-
- Home Health Agency
- Arlington, TX
- NPI 1992017487
-
- Home Health Agency
- Richardson, TX
- NPI 1922115302
-
- Home Health Agency
- Dallas, TX
- NPI 1881909299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.