Individual provider Active NPI

Zachary Levi Pendleton, DO

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1831759356
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T5432 Issued in TX
Practice address
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone
(940) 764-5200
Fax
(940) 764-5201
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T5432 TX Primary

Addresses

Primary practice location

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Mailing address

PO Box 9261
Wichita Falls, TX 76308-9261
Phone (940) 764-7230

Other practice location 1

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address unitedregional@unitedregional.medalliesdirect.net Health Information Exchange (HIE)
FHIR URL https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Direct
FHIR URL https//epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/ Direct
Direct Messaging Address zpendleton72410@unitedregional.medalliesdirect.net Direct United Regional Health Care System Inc

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
I20220726000388 TX Practitioner - Family Practice 2769800762 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Physician Group Family Medicine CurrentSince Aug 29, 2022 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients

Locations

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
  • Direct secure messaging: zpendleton72410@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: unitedregional@unitedregional.medalliesdirect.net

Organizations & group practices 2

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Regional Physician Group 106 clinicians

Practice addresses (Care Compare)

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Hospital & facility affiliations

  • Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
  • Beyond Faith Homecare & Rehab of Wichita Falls Home health agency, Wichita Falls, TX, CCN 743162
  • Centerwell Home Health Home health agency, Vernon, TX, CCN 457124
  • Hospice of Wichita Falls Hospice, Vernon, TX, CCN 451526
  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score
77.42 of 100Reported as group
Quality
66.99
Promoting interoperability
100
Improvement activities
40
Cost
57.73

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1831759356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089261",
            "telephone_number": "940-764-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "940-764-5200",
            "fax_number": "940-764-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4327 Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763102303",
            "country_code": "US",
            "telephone_number": "940-764-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "ZACHARY",
        "middle_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-12-29",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T5432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "unitedregional@unitedregional.medalliesdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4327 Barnett Rd",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763102303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR DSTU2",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4327 Barnett Rd",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763102303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https//epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/",
            "affiliation": "N",
            "endpointDescription": "FHIR R4",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4327 Barnett Rd",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763102303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zpendleton72410@unitedregional.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "United Regional Health Care System Inc",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging Address",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.