Individual provider Active NPI

Daniel Moreno Pacheco, MD

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1346401759
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70854 Issued in AZ
Practice address
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone
(480) 543-2034
Fax
(480) 543-2647
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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 70854 AZ Primary

Addresses

Primary practice location

1900 N Higley Rd
Gilbert, AZ 85234-1604

Mailing address

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170906001382 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 9830367739 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70854AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roya Health, LLC CurrentSince Jul 1, 2024 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 26, 2011 Accepting new patients
Roya Health, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Feb 1, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 26, 2011 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Critical Care Medicine CurrentSince Sep 1, 2012 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Feb 1, 2017 Accepting new patients
Buena Vista Recovery PastSince Jul 16, 2023 Accepting new patients
Buena Vista Recovery, LLC Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1345 E Main St
Mesa, AZ 85203
Phone (480) 223-0290

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

825 W Southern Ave
Phoenix, AZ 85041
Phone (480) 300-4741

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 11

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1346401759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341604",
            "telephone_number": "480-543-2034",
            "fax_number": "480-543-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341604",
            "telephone_number": "480-543-2034",
            "fax_number": "480-543-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "DANIEL",
        "middle_name": "MORENO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "70854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.