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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: August 16, 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.

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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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 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Pacheco's NPI number?

The NPI number for Kevin Pacheco is 1881980704. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Kevin Pacheco located?

Kevin Pacheco practices at Edificio Adriatico Boulevard Dent, San Pedro, SAN JOSE 11501. The listed phone number is (506) 719-6863.

What is Kevin Pacheco's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kevin Pacheco enrolled in Medicare?

Yes. Kevin Pacheco is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Pacheco accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Kevin Pacheco 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 Kevin Pacheco was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.