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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: October 18, 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, Harbor Health, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Pacheco reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Medicine Resources, LLP
1,414 mi
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE 200
Fort Worth, TX 76112
  • Reassigned Medicare billing, Texas enrollment
  • 545 clinicians in this Medicare group
NPI 1376581900 (817) 496-9700
Longhorn Emergency Medical Associates PA
1,530 mi
Emergency Medicine
919 E 32ND ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1649669672 (925) 251-6901
Travis County Emergency Physicians PA
1,530 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Capital Hospitalist Medical Group Inc
2,474 mi
Emergency Medicine
1680 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group
NPI 1992178222 (330) 493-4443
Vep Mlk Emergency Medical Group Inc
2,474 mi
Emergency Medicine
1680 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 67 clinicians in this Medicare group
NPI 1841679289 (855) 687-0618

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kevin Pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Pacheco reassigns Medicare benefits to 5 organizations: Texas Medicine Resources, LLP (Fort Worth, TX), Longhorn Emergency Medical Associates PA (Austin, TX), Travis County Emergency Physicians PA (Austin, TX), Capital Hospitalist Medical Group Inc (Los Angeles, CA) and Vep Mlk Emergency Medical Group Inc (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 Kevin Pacheco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Pacheco accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Molina Healthcare 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 20 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.