Individual provider Active NPI

Pablo M Echeverria, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Saint Peters, MO
National Provider Identifier
1922245125
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036.127067 Issued in IL
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

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110603000115 MO Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4183801970 Reassigns benefits to 1 organization
I20110610000168 IL Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4183801970 Reassigns benefits to 1 organization
I20210201000347 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4183801970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
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

LicenseStateTypeSpecialty
C168709CAMDCritical Care Medicine (Internal Medicine) Physician
036.127067ILMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Jan 25, 2021 Accepting new patients
Galen Inpatient Physicians Inc CurrentSince Dec 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Apr 7, 2021 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Aug 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Apr 7, 2021 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Southeastern Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 1, 2025 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Jan 25, 2021 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 CurrentSince Aug 1, 2016 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

  • Direct secure messaging: pablo.echeverria@dekalbep.gadirect.net
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.