Organization Active NPI

Jaime Luis Roman-Pavajeau, M.D., P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Katy, TX
National Provider Identifier
1205092343
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
JAIME LUIS ROMAN-PAVAJEAU, M.D., P.A.
Practice address
1331 W Grand Pkwy N
Suite 330
Katy, TX 77493-2710
Phone
(281) 693-5454
Fax
(281) 693-5459
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Jaime L Roman-Pavajeau, M.D.NPI 1396943296
Title
Owner
Phone
(713) 436-9223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

1331 W Grand Pkwy N
Suite 330
Katy, TX 77493-2710

Mailing address

5008 Wedgewood Drive
Bellaire, TX 77401-2834
Phone (281) 833-3330

Other identifiers 2

IdentifierTypeStateIssuer
M7580OtherTXTEXAS MEDICAL LICENSE
1980856MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000370 TX Part B Supplier - Clinic/Group Practice 9234207036 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

1331 W Grand Pkwy N
Ste 330
Katy, TX 77493
Phone (281) 693-5454

Practitioners & affiliated clinicians

Practitioners 1

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1205092343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 WEDGEWOOD DRIVE",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012834",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N",
            "address_2": "SUITE 330",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932710",
            "telephone_number": "281-693-5454",
            "fax_number": "281-693-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME LUIS ROMAN-PAVAJEAU, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "ROMAN-PAVAJEAU",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-436-9223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M7580",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980856",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.