Individual provider Active NPI

Jairo Andres Libreros, M.D.

  • Internal Medicine Physician
  • Livingston, TX
National Provider Identifier
1194980128
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0429 Issued in TX
Practice address
403 Ogletree Dr Ste 200
Livingston, TX 77351-9444
Phone
(936) 327-7799
Fax
(936) 327-9211
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P0429 TX Primary

Addresses

Primary practice location

403 Ogletree Dr Ste 200
Livingston, TX 77351-9444

Mailing address

403 Ogletree Dr Ste 200
Livingston, TX 77351-9444
Phone (936) 327-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000581 TX Practitioner - Internal Medicine 1052585502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1905 SW H K Dodgen Loop
Ascension Medical Group Temple
Temple, TX 76502-1814
Phone (254) 298-2682

1909 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (877) 324-3310

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 4, 2019 Accepting new patients
Seton Family of Doctors Internal Medicine Current Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Jan 4, 2019 Accepting new patients
Baylor St. Luke'S Medical Group Internal Medicine Past Accepting new patients
Memorial Multispecialty Associates PastSince Aug 1, 2016 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: jairo.libreros.2@8363.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1194980128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 200",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-327-7799",
            "fax_number": "936-327-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 200",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-327-7799",
            "fax_number": "936-327-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBREROS",
        "first_name": "JAIRO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.