Individual provider Active NPI

Joseph Leslie Pean, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Weslaco, TX
National Provider Identifier
1609873512
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
H5602 Issued in TX
Practice address
1604 E 8TH St Ste a
Weslaco, TX 78596-5587
Phone
(956) 447-5557
Fax
(956) 447-5747
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X H5602 TX
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X H5602 TX Primary

Addresses

Primary practice location

1604 E 8TH St Ste a
Weslaco, TX 78596-5587

Mailing address

1604 E 8TH St Ste a
Weslaco, TX 78596-5587
Phone (956) 793-2835

Other practice location 1

5300 N McColl Rd Ste 100
McAllen, TX 78504-3969
Phone (956) 630-1000

Other identifiers 1

IdentifierTypeStateIssuer
128196606MedicaidTX

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
I20040312000639 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8820987316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ricardo Abreu, M.D., PAGroup PAC ID 4688643521, 27 clinicians

Practice addresses (Care Compare)

1604 E 8TH St
Suite a
Weslaco, TX 78596-5587
Phone (956) 447-5557

5300 N McColl Rd
McAllen, TX 78504-3969
Phone (956) 630-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5602TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Abreu, M.D., PA Multi-Specialty CurrentSince Jun 1, 2014 Accepting new patients
Adolfo Kaplan, M.D., PA Multi-Specialty Past Accepting new patients
McAllen Hospitals L P Past Accepting new patients

Locations

5300 N McColl Rd
Ste 100
McAllen, TX 78504
Phone (956) 630-1000

1022 E Griffin Pkwy
Ste 101102B
Mission, TX 78572
Phone (956) 447-5557

1604 E 8th St
#A
Weslaco, TX 78596
Phone (956) 447-5557

Interoperability endpoints

  • Direct secure messaging: joseph.pean.1@17194.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1609873512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 E 8TH ST STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965587",
            "telephone_number": "956-793-2835",
            "fax_number": "956-447-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 E 8TH ST STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965587",
            "telephone_number": "956-447-5557",
            "fax_number": "956-447-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 N McColl Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785043969",
            "country_code": "US",
            "telephone_number": "956-630-1000",
            "fax_number": "956-447-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAN",
        "first_name": "JOSEPH",
        "middle_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H5602",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "H5602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128196606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.