Individual provider Active NPI

Lisa Palacheck, MD

  • Surgery Physician
  • Del Rio, TX
National Provider Identifier
1922160696
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M5427 Issued in TX
Practice address
801 N Bedell Ave
Del Rio, TX 78840
Phone
(830) 768-9200
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M5427 TX Primary

Addresses

Primary practice location

801 N Bedell Ave
Del Rio, TX 78840

Mailing address

2607 Wolflin Ave Num 285
Amarillo, TX 79109
Phone (915) 637-3503

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
I20200221000156 TX Practitioner - General Surgery 7618101346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.47 of 100Reported as group
Quality
77.88
Promoting interoperability
99
Improvement activities
40
Cost
70.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5427TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation Surgery CurrentSince Jan 13, 2020 Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation CurrentSince Jan 13, 2020 Accepting new patients

Locations

1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

Interoperability endpoints

  • Direct secure messaging: lisapalacheck@valverde.medalliesdirect.net

Organizations & group practices 4

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1922160696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOLFLIN AVE NUM 285",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "915-637-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-768-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACHECK",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-07-31",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.