Peter Dy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K9055 Issued in TX

Practice address

806 S Cage Blvd
Suite B
Pharr, TX 78577-5960

Phone

(956) 283-8990

Fax

(956) 283-8980

NPI assigned

Jun 20, 2005

Last updated

Jun 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter L Dy MD PA

  dba Heavenly Childrens Pediatric Clinic

  • Pediatrics Physician
  • Mission, TX
  • NPI 1497760375
  NPD (past)
• Peter L Dy MD PA

  dba Heavenly Children's Pediatric Clinic

  • Pediatrics Physician
  • Pharr, TX
  • NPI 1750396628
  NPD (past)
• Rio Grande Pediatric Clinic

  dba Juan Aguilera and Associates

  • Pediatrics Physician
  • Rio Grande City, TX
  • NPI 1568768943
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1922003474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S CAGE BLVD",
            "address_2": "SUITE B",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775960",
            "telephone_number": "956-283-8990",
            "fax_number": "956-283-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S CAGE BLVD",
            "address_2": "SUITE B",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775960",
            "telephone_number": "956-283-8990",
            "fax_number": "956-283-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K9055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107541803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lewis Drefke, DDS
• Lynlee C Dublado, MSN, FNP
• Dulce Amor Y Paz Primary Home Care, LLC
• Dulce Recuerdos Adult Day Care, LLC
• Hiram Duran, COTA
• Dynamic Rehab Group LLC (Dynamic Children Therapy Services)
• Ellie A Ebreo, NP
• Edify DME
• Edinburg Pediatric Network LLC (Juan Aguilera M.D. and Associates)
• Edinburg Radiology, LLP

• Pediatrics Physician in Pharr, TX
• Providers in Pharr, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.