Individual provider Active NPI

Paulo A Pacheco, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1265474431
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
197946 Issued in NY
Practice address
60 E 56TH St
7TH Floor
New York, NY 10022-3204
Phone
(212) 326-8999
Fax
(212) 326-8986
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 197946 NY Primary

Addresses

Primary practice location

60 E 56TH St
7TH Floor
New York, NY 10022-3204

Mailing address

PO Box 9167
Uniondale, NY 11555-9167
Phone (845) 634-6500

Other identifiers 1

IdentifierTypeStateIssuer
01961288MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 16, 2026 through Apr 16, 2028

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

311 E 79TH Street
2A
New York, NY 10075-0999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Gastroenterology Associates LLP Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
New York Gi Associates,PC Gastroenterology PastSince Jun 1, 2003 Accepting new patients
Weill Medical College of Cornell Gastroenterology PastSince Jan 1, 1992 Accepting new patients
Gotham Medical Associates, PLLC Past Accepting new patients
Yorkville Medical Associates PLLC Past Accepting new patients

Locations

311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633

60 E 56th St
Fl 7
New York, NY 10022
Phone (212) 326-8999

535 5th Ave
Fl 5
New York, NY 10017
Phone (212) 682-2828

Organizations & group practices 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1265474431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9167",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559167",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 56TH ST",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223204",
            "telephone_number": "212-326-8999",
            "fax_number": "212-326-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "PAULO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "197946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01961288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.