PEDRO ALFONSO SANCHEZ M.D.
NPI 1255544508
Medical Genetics - Clinical Genetics (M.D.) in Philadelphia, PA
About Pedro Alfonso Sanchez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDRO ALFONSO SANCHEZ M.D. (NPI 1255544508) is an individual clinical genetics (m.d.) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD421985) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, Geffen School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pedro Alfonso Sanchez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Pedro Sanchez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 1,001 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pedro Sanchez's NPI number?
The NPI number for Pedro Sanchez is 1255544508. It was assigned to this individual provider in the NPPES registry on May 7, 2007.
Where is Pedro Sanchez located?
Pedro Sanchez practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-2920.
What is Pedro Sanchez's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Pedro Sanchez enrolled in Medicare?
Yes. Pedro Sanchez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pedro Sanchez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Sanchez reassigns Medicare benefits to 3 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA), Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Cedars-Sinai Medical Center (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pedro Sanchez accept?
Health plans from Blue Cross and Blue Shield of Texas list Pedro Sanchez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pedro Sanchez was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pedro Alfonso Sanchez, M.D. · NPI 1255544508
Clinical Genetics (M.D.) physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 7, 2007.
## Identity
- **NPI:** 1255544508 (Entity type: Individual)
- **Enumerated:** May 7, 2007
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** MD421985 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-2920 · **Fax:** (215) 590-3298
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Cedars-Sinai Medical Care Foundation (NPI 1316984388, Los Angeles, CA); Cedars-Sinai Medical Center (NPI 1639172372, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255544508) · Data from the CMS NPPES public registry.