Individual provider Active NPI

Pedro Elias Checo, M.D.

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1285656207
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H8602 Issued in TX
Practice address
3211 Internet Blvd
Suite 280
Frisco, TX 75034-1944
Phone
(469) 633-9700
Fax
(469) 633-9701
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H8602 TX Primary

Addresses

Primary practice location

3211 Internet Blvd
Suite 280
Frisco, TX 75034-1944

Mailing address

3211 Internet Blvd
Suite 280
Frisco, TX 75034-1948
Phone (469) 633-9700

Other identifiers 3

IdentifierTypeStateIssuer
8F5000OtherTXBLUE CROSS PROVIDER #
0072HDOtherTXBLUE CROSS GROUP NUMBER
45D0996439OtherTXCLIA WAIVER CERTIFICATE

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
I20121212000409 TX Practitioner - Internal Medicine 8820091911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3211 Internet Blvd
Suite 280
Frisco, TX 75034-1951
Phone (469) 633-9700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Medical Associates PA Internal Medicine CurrentSince Mar 1, 2002 Accepting new patients

Locations

3211 Internet Blvd
Ste 280
Frisco, TX 75034
Phone (469) 633-9700

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1285656207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 INTERNET BLVD",
            "address_2": "SUITE 280",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341948",
            "telephone_number": "469-633-9700",
            "fax_number": "469-633-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 INTERNET BLVD",
            "address_2": "SUITE 280",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341944",
            "telephone_number": "469-633-9700",
            "fax_number": "469-633-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECO",
        "first_name": "PEDRO",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H8602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "8F5000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0072HD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER CERTIFICATE",
            "identifier": "45D0996439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.