CARLOS E PANCORVO (M.D.) – Nephrology Physician, NPI 1417928573

CARLOS E PANCORVO (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. L0482 (TX). The NPI Number for CARLOS E PANCORVO (M.D.) is 1417928573

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
CARLOS E PANCORVO (M.D.)
NPI
1417928573
Phone
(214) 358-2300
Address
PO BOX 660132
Enumeration Date
27 January 2006
Last Update Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143582300
Graduation Year
1993 (33 years ago)
PAC ID
0446374979
Group Practice PAC ID
3870403819
Professional Enrollment ID
I20100903000735
Address ID
TX751152011DE2651XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

Provider Addresses for CARLOS E PANCORVO (M.D.)

  • PO BOX 660132

    DALLAS, TX 752660132

    Phone: (214) 358-2300

    Fax: (214) 366-6127

    Type: Mailing

  • 2651 BOLTON BOONE DR

    DESOTO, TX 751152011

    Phone: (214) 358-2300

    Fax: (214) 579-6941

    Type: Location

  • 1505 LBJ FWY STE 700

    DALLAS, TX 752346065

    Phone: (214) 358-2300

    Fax: (214) 579-6941

    Type: Mailing

  • 1150, North Bishop Avenue, Bishop Arts District, Dallas, Dallas County, Texas, 75208, United States

    STE 100

    DALLAS, TX 752084167

    Phone: (214) 358-2300

    Fax: (214) 366-6127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $2,030.

Total Amount is formed as General ($2,030) + Research ($0) + Ownership ($0) = $2,030.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($633).

Total Amount

$2,030

General + Research + Ownership

Payments

56

Total payment records

General Amount

$2,030

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100903000735INephrologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes491115$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)32048$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16082$0
90935Hemodialysis procedure with physician evaluation13136$0
99214Established patient office or other outpatient visit, 30-39 minutes6834$0
View full utilization report →

Insurance plans in this area (ZIP 75266)

Loading plans...

Provider's Procedures

CARLOS E PANCORVO (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90935Hemodialysis procedure with one physician evaluation427129
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older5837

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870403819View full group profile
NameSpecialtyState
N E P H R O L O G YTX
N E P H R O L O G YTX
Internal Medicine, NephrologyNY
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
-OH
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
Registered Dietitian Or Nutrition ProfessionalTX
Nephrology, Internal MedicineTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check CARLOS E PANCORVO (M.D.) using NPI 1417928573?
NPI 1417928573 belongs to CARLOS E PANCORVO (M.D.); compare other details if you need extra assurance.
Is there an active status for CARLOS E PANCORVO (M.D.)?
For scheduling context, CARLOS E PANCORVO (M.D.) is shown as active in the registry.
What area of care is associated with CARLOS E PANCORVO (M.D.)?
CARLOS E PANCORVO (M.D.)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CARLOS E PANCORVO (M.D.)?
Directory geography for CARLOS E PANCORVO (M.D.) centers on Dallas, Texas.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

MOHAMMAD REZA MIZANI (M.D.)

Nephrology Physician
PO BOX 504152
NPI: 1497757660
West Mockingbird Lane, Dallas, TX, Dallas, Dallas County, Texas, 75209, United States
NPI: 1730184235

DR. SUNEET VERMA (MD)

Nephrology Physician
3571W WHEATLAND RD 101
NPI: 1457358111
14501 MONTFORT DR APT 820
NPI: 1730188293

LATHA VELUSAMY (M.D.)

Nephrology Physician
3571, West Wheatland Road, Dallas, Dallas County, Texas, 75237, United States
NPI: 1710986013

DR. YOUSRI BARRI (M..D.)

Nephrology Physician
1420, Viceroy Drive, Dallas, TX, Dallas, Dallas County, Texas, 75247, United States
NPI: 1679572556

ROBERT ALLEN FARKAS (M.D.)

Nephrology Physician
Lyndon B Johnson Freeway, Dallas, Dallas County, Texas, 75243, United States
NPI: 1689675589

MICHAEL J LANDGARTEN (MD)

Nephrology Physician
1600 WATERS RIDGE DR STE A
NPI: 1588665780

DR. SYED ALI ASGHAR (M.D.)

Nephrology Physician
1420, Viceroy Drive, Dallas, Dallas County, Texas, 75247, United States
NPI: 1063407740