Individual provider Active NPI

Elizabeth Pascual, MD

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1902892417
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0869 Issued in TX
Practice address
1701 N Greenville Ave Ste 801
Richardson, TX 75081-1853
Phone
(844) 233-1967
Fax
(972) 373-4062
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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 G0869 TX Primary

Addresses

Primary practice location

1701 N Greenville Ave Ste 801
Richardson, TX 75081-1853

Mailing address

1701 N Greenville Ave Ste 801
Richardson, TX 75081-1853
Phone (844) 233-1967

Other identifiers 1

IdentifierTypeStateIssuer
092663603MedicaidTX

Other names 1

  • Dr. Elizabeth S Pascual Former name

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
I20131223000853 TX Practitioner - General PracticePractitioner - Family Practice 9830261940 Reassigns benefits to 1 organization

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1902892417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GREENVILLE AVE STE 801",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811853",
            "telephone_number": "844-233-1967",
            "fax_number": "972-373-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREENVILLE AVE STE 801",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811853",
            "telephone_number": "844-233-1967",
            "fax_number": "972-373-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092663603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PASCUAL",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.