Active NPI
Pedro Pacheco, MD
- Emergency Medicine Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- V0091
- Practice address
- 2300 Lone Star Rd
Mansfield, TX 76063-8744 - Phone
- (940) 595-1402
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | V0091 | TX | Primary |
Addresses
Primary practice location
2300 Lone Star Rd
Mansfield, TX 76063-8744
Mailing address
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (940) 595-1402
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Texas a & M University System, HSC, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E Hwy 287
Methodist Midlothian Medical Center
Midlothian, TX 76065-4107
Phone 8174514208124
Hospital & facility affiliations
- Methodist Midlothian Medical Center
- Methodist Mansfield Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0091 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Physician Resources, LLP | Emergency Medicine | Current | Accepting new patients |
Locations
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1639413289
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1700467875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 LONE STAR RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638744",
"telephone_number": "940-595-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LONE STAR RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638744",
"telephone_number": "940-595-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "PEDRO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "V0091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.