Ted C. Vargas, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34914 Issued in MO

Legal business name

TED C. VARGAS, INC.

Practice address

1075 Eureka Rd
Eureka, MO 63025-2173

Phone

(636) 938-9960

Fax

(636) 938-9961

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Teodoro C VargasNPI 1427015726

Title

MD

Phone

(636) 938-9960

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Pacific MedCare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teodoro C. Vargas, M.D.

  • Family Medicine Physician
  • Eureka, MO
  • NPI 1427015726

  Family Medicine, MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1891962072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 EUREKA RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252173",
            "telephone_number": "636-938-9960",
            "fax_number": "636-938-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 EUREKA RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252173",
            "telephone_number": "636-938-9960",
            "fax_number": "636-938-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED C. VARGAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "TEODORO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "636-938-9960"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "34914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200864908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "100922001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "5523",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "101254",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CHOICE",
            "identifier": "K92006",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "18297",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "2052",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific MedCare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific MedCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Eureka, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.