Organization Active NPI

Jaime Robledo MD PA

  • Interventional Pain Medicine Physician
  • Katy, TX
National Provider Identifier
1235463928
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K6916 Issued in TX
Legal business name
JAIME ROBLEDO MD PA
Practice address
21830 Kingsland Blvd Ste 102
Katy, TX 77450-2500
Phone
(713) 590-5470
Fax
(713) 583-2800
NPI assigned
Sep 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Dr. Jaime Robledo, M.D.NPI 1942352604
Title
Owner
Phone
(713) 590-5470

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X K6916 TX Primary

Addresses

Primary practice location

21830 Kingsland Blvd Ste 102
Katy, TX 77450-2500

Mailing address

21830 Kingsland Blvd Ste 102
Katy, TX 77450-2500
Phone (713) 590-5470

Other identifiers 2

IdentifierTypeStateIssuer
1942352604OtherTXNPI
1235463928OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000625 TX Part B Supplier - Clinic/Group Practice 8628110244 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

21402 Provincial Blvd
Katy, TX 77450
Phone (281) 203-0600

23530 Kingsland Blvd
Ste 200
Katy, TX 77494
Phone (281) 717-4902

1327 Lake Pointe Pkwy
Ste 520
Sugar Land, TX 77478
Phone (713) 590-5470

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1235463928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502500",
            "telephone_number": "713-590-5470",
            "fax_number": "713-583-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502500",
            "telephone_number": "713-590-5470",
            "fax_number": "713-583-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME ROBLEDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-590-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K6916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942352604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235463928",
            "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 Apr 12, 2024; 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.