Active NPI
Paulo A Pacheco, M.D.
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1265474431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 197946
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01961288 | Medicaid | NY |
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
- Opted out of Medicare
- Yes, effective Apr 16, 2026 through Apr 16, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 92 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 68 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Gastroenterology Associates LLP | Gastroenterology | Current | Accepting new patients |
| Weill Medical College of Cornell | Past | Accepting new patients | |
| New York Gi Associates,PC | Gastroenterology | Past | Accepting new patients |
| Weill Medical College of Cornell | Gastroenterology | Past | 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.
-
- Gastroenterology Physician
- New York, NY
- NPI 1962778555
-
- Gastroenterology Physician
- New York, NY
- NPI 1356428387
-
- Specialist
- New York, NY
- NPI 1114330255
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Gastroenterology Physician
- New York, NY
- NPI 1932143815
-
- Anesthesiology Physician
- New York, NY
- NPI 1740504679
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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; Opt Out Affidavits.
- 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.