Individual provider Active NPI

Robert Erick Pecha, M.D.

  • Specialist
  • Folsom, CA
National Provider Identifier
1619918133
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G74570 Issued in CA
Practice address
1580 Creekside Dr Ste 220
Folsom, CA 95630-3888
Phone
(530) 644-6430
Fax
(530) 622-3957
NPI assigned
Jun 8, 2006
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G74570 CA Primary

Addresses

Primary practice location

1580 Creekside Dr Ste 220
Folsom, CA 95630-3888

Mailing address

1580 Creekside Dr Ste 220
Folsom, CA 95630-3888
Phone (916) 983-4444

Other identifiers 1

IdentifierTypeStateIssuer
00G745701MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040715000789 CA Practitioner - Gastroenterology 4688653470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Medical ClinicGroup PAC ID 3870487424, 8 clinicians

Practice addresses (Care Compare)

1580 Creekside Dr
Suite 220
Folsom, CA 95630-3888
Phone (916) 983-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy133
Upper gastrointestinal (GI) endoscopy for acid reflux139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74570CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Medical Clinic Specialist CurrentSince Apr 1, 2010 Accepting new patients

Locations

1580 Creekside Dr
Ste 220
Folsom, CA 95630
Phone (530) 295-2153

1000 Fowler Way
Ste 7
Placerville, CA 95667
Phone (530) 295-0608

1006 Marshall Way
Placerville, CA 95667
Phone (530) 622-6430

Interoperability endpoints

  • Direct secure messaging: rpecha25694@hpmg.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1619918133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR STE 220",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303888",
            "telephone_number": "916-983-4444",
            "fax_number": "916-983-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR STE 220",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303888",
            "telephone_number": "530-644-6430",
            "fax_number": "530-622-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHA",
        "first_name": "ROBERT",
        "middle_name": "ERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G74570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G745701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.