Active NPI
Juancarlo S. Pascual, MD
- Family Medicine Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R0926
- Practice address
- 604 St. Michael Dr
Suite 340
Texarkana, TX 75503 - Phone
- (903) 614-5110
- Fax
- (903) 614-5114
- NPI assigned
- Apr 16, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R0926 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 304225 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
604 St. Michael Dr
Suite 340
Texarkana, TX 75503
Mailing address
604 St. Michael Dr
Suite 340
Texarkana, TX 75503
Phone (903) 614-5110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
Hospital & facility affiliations
- Christus St Michael Health System
- Southwest Regional Medical Center LLC
- Little River Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0926 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Christus Health Ark-la-Tex | Past | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000
200 Corporate Blvd
Lafayette, LA 70508
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine, LA
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine, LA
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
dba Little River Memorial Hospital
- Critical Access Hospital
- Ashdown, AR
- NPI 1326040007
-
dba Southwest Arkansas Regional Medical Center
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1326481664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 ST. MICHAEL DR",
"address_2": "SUITE 340",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "75503",
"telephone_number": "903-614-5110",
"fax_number": "903-614-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 ST. MICHAEL DR",
"address_2": "SUITE 340",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "75503",
"telephone_number": "903-614-5110",
"fax_number": "903-614-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUAL",
"first_name": "JUANCARLO",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R0926",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "304225",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.