Peter Paily, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0433149 Issued in KS

Practice address

1515 Truemper St
Lackland Afb, TX 78236-5583

Phone

(210) 671-9553

NPI assigned

Jan 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1972788966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 TRUEMPER ST",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365583",
            "telephone_number": "210-671-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 TRUEMPER ST",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365583",
            "telephone_number": "210-671-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAILY",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0433149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Oettel, D.O.
• Bruce Allen Oksol, M.D.
• Antonio Ortiz-Garcia, PA
• Delbert George Oxborrow, DDS
• Rosa Elia Padilla
• Cassandra Lynn Parada, LCSW
• Thomas Pennington, DO
• Brian Penton, DDS
• Curtis M Perz
• Judy A Peterson, R.PH., M.S.

• Family Medicine Physician in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.