Active NPI
Pedro T Zevallos, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E6960
- Practice address
- 8344 E.RL Thornton Fwy.
Suite 420
Dallas, TX 75228 - Phone
- (972) 289-5864
- Fax
- (972) 289-3130
- NPI assigned
- Jul 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | E6960 | TX | |
| Internal Medicine Physician | 207R00000X | E6960 | TX | Primary |
Addresses
Primary practice location
8344 E.RL Thornton Fwy.
Suite 420
Dallas, TX 75228
Mailing address
519 E Interstate 30
Rockwall, TX 75087-5408
Phone (972) 551-9113
Other practice location 1
8344 E.RL Thornton Fwy.
Suite 420
Dallas, TX 75228-7106
Phone (972) 289-5864
Other practice location 2
2100 Virginia St Ste D
Grand Prairie, TX 75051-3722
Phone (972) 264-2331
Other practice location 3
9812 Lakeview Pkwy
Rowlett, TX 75088-4549
Phone (972) 463-7337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225955 | Medicaid | TX | |
| 613638 | Other | TX | MEDICARE NUMBER |
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
- Internal Medicine
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5440 Harvest Hill Rd
Suite 182
Dallas, TX 75230-1605
Phone (972) 484-0040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.47 of 100
- Quality
- 82.96
- Improvement activities
- 40
- Cost
- 44.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Physiatry Group LLC | Internal Medicine | Current | Accepting new patients |
| Visiting Physician'S Network, Inc | Current | Accepting new patients | |
| Patient Place P.a. | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
| Texas Health Physicians Group | Past | Accepting new patients | |
| Texas Physicians Primary Care, PLLC | Past | Accepting new patients | |
| Northwest Dallas Family Medical Association, P.a. | Past | Accepting new patients | |
| Total Care Family Practice, LLC | Past | Accepting new patients |
Locations
5440 Harvest Hill Rd
Ste 182
Dallas, TX 75230
Phone (972) 484-0040
2231 US Highway 80 E
Mesquite, TX 75150
Phone (214) 315-6310
850 Central Pkwy E
Ste 275
Plano, TX 75074
1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Dallas, TX
- NPI 1568495687
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1316078769
Internal Medicine
-
- Family Medicine Physician
- Dallas, TX
- NPI 1659327773
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1891741922
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Family Medicine Physician
- Mesquite, TX
- NPI 1962800284
-
- General Practice Physician
- Mesquite, TX
- NPI 1538442603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Plano, TX
- NPI 1235168345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1891729091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 E INTERSTATE 30",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875408",
"telephone_number": "972-551-9113",
"fax_number": "972-264-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8344 E.RL THORNTON FWY.",
"address_2": "SUITE 420",
"city": "DALLAS",
"state": "TX",
"postal_code": "75228",
"telephone_number": "972-289-5864",
"fax_number": "972-289-3130"
}
],
"practiceLocations": [
{
"address_1": "8344 E.RL Thornton Fwy.",
"address_2": "Suite 420",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752287106",
"country_code": "US",
"telephone_number": "972-289-5864",
"fax_number": "972-289-3130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Virginia St Ste D",
"address_purpose": "LOCATION",
"city": "Grand Prairie",
"state": "TX",
"postal_code": "750513722",
"country_code": "US",
"telephone_number": "972-264-2331",
"fax_number": "972-264-2333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9812 Lakeview Pkwy",
"address_purpose": "LOCATION",
"city": "Rowlett",
"state": "TX",
"postal_code": "750884549",
"country_code": "US",
"telephone_number": "972-463-7337",
"fax_number": "972-463-7004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEVALLOS",
"first_name": "PEDRO",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "TX",
"license": "E6960",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E6960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225955",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "613638",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.