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DR. KEVIN PACHECO D.O.
NPI 1881980704
General Practice in San Pedro, SAN JOSE

Active since June 20, 2011PECOS Enrolled
EDIFICIO ADRIATICO, BOULEVARD DENT, SAN PEDRO, SAN JOSE 11501(506) 719-6863 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 4, 2025, Nov 26, 2022, Aug 26, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Kevin Pacheco D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN PACHECO D.O. (NPI 1881980704) is an individual general practice provider in San Pedro, SAN JOSE, licensed in Texas (T7323) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Prairie.

NPPES Registry Identity

NPI1881980704
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KEVIN PACHECOCredential: D.O.
Location AddressEDIFICIO ADRIATICO, BOULEVARD DENTSan Pedro, SAN JOSE 11501
Mailing Address2505 Oakwood DrGrand Prairie, TX 75050-1725 · (214) 400-7527
Phone(506) 719-6863
Sole ProprietorYes
Enumeration DateJune 20, 2011
Last NPPES UpdateFebruary 4, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1881980704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in TX · T7323✔ Licensed in CA · 13342✔ Licensed in NY · 275486
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

EDIFICIO ADRIATICO, San Pedro, SAN JOSE 11501
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Secondary Practice Location 1

Location 12505 Oakwood DrGrand Prairie, TX 75050-1725 · Phone (214) 400-7527

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Pacheco D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
42 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services20 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

Frequently Asked Questions

What is Kevin Pacheco's NPI number?

The NPI number assigned to this healthcare provider is 1881980704, enumerated as an "individual" on June 20, 2011.

Where is the provider located?

The provider is located at EDIFICIO ADRIATICO BOULEVARD DENT SAN PEDRO, SAN JOSE 11501 and the phone number is (506) 719-6863.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

What insurance does Kevin Pacheco accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to verify.