Individual provider Active NPI

Pedro T Zevallos, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1891729091
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E6960 Issued in TX
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

Updated by the provider on May 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1225955MedicaidTX
613638OtherTXMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000911 TX Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6901882075 Reassigns benefits to 2 organizations
Practice locations: Dallas, TX; Rowlett, TX; Grand Prairie, TX; Mesquite, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Physicians Network IncGroup PAC ID 4981600970, 8 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Legacy Physiatry Group LLC Internal Medicine CurrentSince Mar 6, 2017 Accepting new patients
Visiting Physician'S Network, Inc CurrentSince Jan 1, 2018 Accepting new patients
Patient Place P.a. Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine PastSince Nov 1, 2006 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 PastSince Dec 1, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.