Organization Active NPI

Jairo a. Melo, M.D., P.a.

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1073792735
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K1260 Issued in TX
Legal business name
JAIRO A. MELO, M.D., P.A.
Practice address
21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669
Phone
(210) 690-7400
Fax
(210) 957-6956
NPI assigned
Oct 30, 2007
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Belinda Cardenas
Title
Office Manager
Phone
(210) 690-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X K1260 TX Primary

Addresses

Primary practice location

21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669

Mailing address

21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669
Phone (210) 690-7400

Other identifiers 2

IdentifierTypeStateIssuer
174140701MedicaidTX
0013RFOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050527000725 TX Part B Supplier - Clinic/Group Practice 9436190485 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX; Boerne, TX

National Provider Directory

National Provider Directory

Locations

4458 Medical Dr
Ste 505
San Antonio, TX 78229

4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181

5421 Broadway
San Antonio, TX 78209
Phone (210) 824-9919

8026 Floyd Curl Dr
#2W
San Antonio, TX 78229
Phone (210) 557-8005

8201 Ewing Halsell Dr
#250
San Antonio, TX 78229
Phone (210) 575-8485

9179 Cinnamon HL
San Antonio, TX 78240
Phone (210) 691-0737

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1073792735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 230B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-690-7400",
            "fax_number": "210-957-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 230B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-690-7400",
            "fax_number": "210-957-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRO A. MELO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-690-7400"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174140701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0013RF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.