Elba M Pacheco, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

D0038556 Issued in MD

Practice address

692 A Ritchie Hwy
Suite 2B
Severna Park, MD 21146-3971

Phone

(410) 647-0123

Fax

(410) 647-0126

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Ophthalmology

Education

Columbia University College of Physicians and Surgeons, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elba M. Pacheco, M.D., LLC

  • Ophthalmology Physician
  • Severna Park, MD
  • NPI 1447484597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1972565406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 A RITCHIE HWY",
            "address_2": "SUITE 2B",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463971",
            "telephone_number": "410-647-0123",
            "fax_number": "410-647-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 A RITCHIE HWY",
            "address_2": "SUITE 2B",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463971",
            "telephone_number": "410-647-0123",
            "fax_number": "410-647-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ELBA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0038556",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0038556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530401600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Osborne, LCSW-C
• Dawn Noel Ouimette, AT-C, NEMT-P
• Michelle Outeiral, DPT
• Michael Owe, BEHAVIOR TECHNICIAN
• Zainab Oyelami
• Nino Pagapulaan, PT
• Raymond Palasik
• Erin K Paluchowski, D.D.S.
• Alyssa Mae Panzer
• Park Pharmacy Inc

• Ophthalmic Plastic and Reconstructive Surgery Physician in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.

Verify at the official NPI Registry.