Individual provider Active NPI

Orlando P Peccora, M.D.

  • Psychiatry Physician
  • Missouri City, TX
National Provider Identifier
1538255161
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F1891 Issued in TX
Practice address
3634 Glenn Lakes
Suite 101
Missouri City, TX 77459
Phone
(281) 208-6690
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F1891 TX Primary

Addresses

Primary practice location

3634 Glenn Lakes
Suite 101
Missouri City, TX 77459

Mailing address

4910 Airport Ave
BLDG D
Rosenberg, TX 77471-5759
Phone (281) 239-1369

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
I20240306000358 TX Practitioner - Psychiatry 4789020397 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denis G Patterson D O P C CurrentSince May 1, 2025 Accepting new patients
Extant PLLC CurrentSince Jan 15, 2024 Accepting new patients
Texana Center PastSince Jan 1, 2024 Accepting new patients
Texana Center Past Accepting new patients

Locations

3550 FM 1092 Rd
Missouri City, TX 77459

3550 FM 1092 Rd
Ste A
Missouri City, TX 77459
Phone (832) 409-1460

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538255161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 AIRPORT AVE",
            "address_2": "BLDG D",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715759",
            "telephone_number": "281-239-1369",
            "fax_number": "281-239-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES",
            "address_2": "SUITE 101",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-208-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECCORA",
        "first_name": "ORLANDO",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.