Organization Active NPI

Carlos Arauz Pacheco MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Rockwall, TX
National Provider Identifier
1609889138
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
J2481 Issued in TX
Legal business name
CARLOS ARAUZ PACHECO MD PA
Practice address
890 Rockwall Pkwy Ste 102
Rockwall, TX 75032-6871
Phone
(972) 475-5600
Fax
(972) 475-5668
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Dr. Carlos Arauz-Pacheco, M.D.NPI 1992766448
Title
President
Phone
(972) 979-8237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X J2481 TX Primary

Addresses

Primary practice location

890 Rockwall Pkwy Ste 102
Rockwall, TX 75032-6871

Mailing address

890 Rockwall Pkwy Ste 102
Rockwall, TX 75032-6871
Phone (972) 475-5600

Other practice location 1

12606 Greenville Ave Ste 200
Dallas, TX 75243-1923
Phone (214) 660-2020

Other identifiers 1

IdentifierTypeStateIssuer
181723101MedicaidTX

Other names 1

  • Diabetes and Endocrinology Clinical Consultants of Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001527 TX Part B Supplier - Clinic/Group Practice 7810967957 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX; Rockwall, TX

National Provider Directory

National Provider Directory

Locations

9330 Poppy Dr
Ste 302
Dallas, TX 75218
Phone (214) 660-2020

9323 Garland Rd
Ste 112
Dallas, TX 75218
Phone (214) 321-1144

1110 N Buckner Blvd
Ste 102
Dallas, TX 75218
Phone (214) 320-9000

12606 Greenville Ave
Ste 215
Dallas, TX 75243
Phone (214) 660-2020

890 Rockwall Pkwy
Ste 102
Rockwall, TX 75032
Phone (214) 736-2445

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1609889138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ROCKWALL PKWY STE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326871",
            "telephone_number": "972-475-5600",
            "fax_number": "972-475-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ROCKWALL PKWY STE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326871",
            "telephone_number": "972-475-5600",
            "fax_number": "972-475-5668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12606 Greenville Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431923",
            "country_code": "US",
            "telephone_number": "214-660-2020",
            "fax_number": "214-660-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLOS ARAUZ PACHECO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "ARAUZ-PACHECO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-979-8237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "J2481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181723101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes and Endocrinology Clinical Consultants of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diabetes and Endocrinology Clinical Consultants of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.