NPI age
16 years
Enumerated 2009-05-29
● Active
Type 1 · Individual
Peter Daniel Obesso, D.O.
Obesso is 1 of 5 internal medicine providers in Tyler and 1 of 114 in Texas.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-10-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 114 active internal medicine providers in Texas.
NPI age
16 years
≈ at median (16 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Practice location
120 E Charnwood St, Suite B
Tyler, TX 757011708
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Internal Medicine PrimaryAn Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752616977028 | TRICARE |
| 01 (TX) | 752616977002 | TRICARE |
| 01 (TX) | 752616977001 | TRICARE |
| 01 (TX) | P01246236 | RAIL ROAD |
| 05 (TX) | 323899001 | |
| 01 (TX) | 75-2616977-120 | TRICARE |
| 01 (TX) | 752616977015 | TRICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.