DR. IVAN PEDROSA M.D. NPI 1366552523

NPI Information

NPI: 1366552523
Provider Name: DR. IVAN PEDROSA, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-0624
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DR. Ivan Pedrosa, M.D. is a diagnostic radiology radiology in Dallas, TX with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Ivan Pedrosa, M.D. NPI is 1366552523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-201
Phone: (214) 645-0624

The NPI 1366552523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	215378	MASSACHUSETTS	No
2	2085R0202X	Radiology	Diagnostic Radiology	P1580	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H75338	MEDICARE UPIN	MASSACHUSETTS
2	A34903	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	0715668	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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