Active NPI
Pablo M Echeverria, MD
- Critical Care Medicine (Internal Medicine) Physician
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036.127067
- Practice address
- 10 Hospital Dr
Saint Peters, MO 63376 - Phone
- (314) 747-3581
- Fax
- (314) 747-1710
- NPI assigned
- Jan 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2011009909 | MO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C168709 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01086583A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036.127067 | IL | Primary |
Addresses
Primary practice location
10 Hospital Dr
Saint Peters, MO 63376
Mailing address
660 S Euclid Ave
CB 8054
Saint Louis, MO 63110-1010
Phone (314) 747-3581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230
503 N Maple St
Effingham, IL 62401-2006
Phone (217) 347-1236
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C168709 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 036.127067 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians Inc | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Washington University | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
Interoperability endpoints
- pablo.echeverria@dekalbep.gadirect.net
- pecheverria167015@santaclaravalley.direct-ci.net
Organizations & group practices 14
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
dba Vituity
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1194615310
-
- Critical Care Medicine (Internal Medicine) Physician
- Oceanside, CA
- NPI 1588383111
-
- Critical Care Medicine (Internal Medicine) Physician
- Kankakee, IL
- NPI 1174320873
-
- Critical Care Medicine (Internal Medicine) Physician
- Belleville, IL
- NPI 1386002368
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1922245125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8054",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-747-3581",
"fax_number": "314-747-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "63376",
"telephone_number": "314-747-3581",
"fax_number": "314-747-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRIA",
"first_name": "PABLO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-10",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2011009909",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "C168709",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01086583A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036.127067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
- Dynasty Home Health Care LLC (Dynasty Care)
- E Medical Group of Missouri No 2 LLC (Angels Care Home Health)
- E. Glenn Glassman DDS Dba Orthocare Systems
- Sukaina Zaki Eashour, DPM
- Melinda Dawn East, LCSW
- Tenecia Ann Echols, L.C.S.W.
- Barbara Marlene Edelman, M.A., P.L.P.C.
- Eden Chiropractic and Wellness Center
- Kathleen Egbert
- Ann Elizabeth Eggering, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.