Paul Coronel Pastolero, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

U2969 Issued in TX

Practice address

1050 Central Expy S Ste 1200
Allen, TX 75013-3173

Phone

(972) 954-5728

NPI assigned

Jul 11, 2016

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 MI, TX2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Smart Neuro Health and Wellness Professionals Texas PAGroup PAC ID 8921401829, 15 clinicians

Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28692/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

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.

• Bent Tree Psychiatric Assoc

  • Psychiatry Physician
  • Plano, TX
  • NPI 1447225420
  Medicare reassignment Care Compare group NPD
• Smart Neuro Health & Wellness Professionals Texas PA

  • Other Technician
  • Plano, TX
  • NPI 1619341492
  Medicare reassignment Care Compare group NPD
• Healthsource Saginaw Inc

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1265426704
  Medicare reassignment NPD
• Seema Kazi MD PA

  • Psychiatry Physician
  • Euless, TX
  • NPI 1023423514
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1619329067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-987-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CENTRAL EXPY S STE 1200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133173",
            "telephone_number": "972-954-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6839 Communications Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750245991",
            "country_code": "US",
            "telephone_number": "972-733-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTOLERO",
        "first_name": "PAUL",
        "middle_name": "CORONEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301110261",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parmach LLC
• Patricia Ann Parolisi
• Kara E Parr
• Partners Pathology PLLC
• Veronica M. Paschall, MS, LPC
• Megha Patel-Banker, MD
• Disha I Patel
• Hait H Patel, DPT
• Hemaliben Patel
• Jainita Patel

• Psychiatry Physician in Allen, TX
• Providers in Allen, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.