Carlos Pacheco III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-44828 Issued in KS

Practice address

2040 Hutton Rd Ste 102
Kansas City, KS 66109-4566

Phone

(913) 299-3700

Fax

(913) 721-3316

NPI assigned

Apr 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunflower Medical Group PAGroup PAC ID 0042286106, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aquinas Home Health Home health agency, Shawnee, KS, CCN 178008
• Providence Medical Center Hospital, Kansas City, KS, CCN 170146
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sunflower Medical Group PA

  • Internal Medicine Physician
  • Roeland Park, KS
  • NPI 1811955024

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Sunflower Medical Group, PA

  • Urgent Care Clinic/Center
  • Roeland Park, KS
  • NPI 1063683902

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services-Providence, LLC

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1528301900
  Care Compare affiliation
• Spectrum Private Care Services, LLC

  • Home Health Agency
  • Shawnee, KS
  • NPI 1205832987
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1346746138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD STE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094566",
            "telephone_number": "913-299-3700",
            "fax_number": "913-721-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD STE 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094566",
            "telephone_number": "913-299-3700",
            "fax_number": "913-721-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391246",
            "country_code": "US",
            "telephone_number": "816-404-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-44828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denika Owens, REGISTERED NURSE
• Karlie Owens
• Steven D Owens, MD
• Stephanie Dawn Oxandale, APRN
• P3 Health
• Katie Pacheco, MD
• Marie Lynn Pacholec, DO
• Andrea Padilla
• Israel Padilla
• Prathyusha Pagadala, MD

• Family Medicine Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.

Verify at the official NPI Registry.