Organization Active NPI

Pediatric Associates at Ridge

  • Pediatrics Physician
  • McAllen, TX
National Provider Identifier
1255604179
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2067 Issued in TX
Legal business name
PEDIATRIC ASSOCIATES AT RIDGE
Practice address
1200 E Ridge Rd Ste 12
McAllen, TX 78503-1528
Phone
(956) 631-5333
Fax
(877) 409-1929
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mrs. Irma Robledo
Title
Office Manager
Phone
(956) 631-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X L2067 TX Primary

Addresses

Primary practice location

1200 E Ridge Rd Ste 12
McAllen, TX 78503-1528

Mailing address

1200 E Ridge Rd Ste 12
McAllen, TX 78503-1528
Phone (956) 631-5333

Other identifiers 2

IdentifierTypeStateIssuer
092502601MedicaidTX
192550501MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0670712Pediatric Associates at Ridge Road1200 East Ridge Road # 12, McAllen, TX 78503ComplianceDec 14, 2026

National Provider Directory

National Provider Directory

Locations

1200 E Ridge Rd
Ste 12
McAllen, TX 78503
Phone (956) 631-5333

Practitioners & affiliated clinicians

Practitioners 6

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1255604179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGE RD STE 12",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031528",
            "telephone_number": "956-631-5333",
            "fax_number": "956-631-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGE RD STE 12",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031528",
            "telephone_number": "956-631-5333",
            "fax_number": "877-409-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES AT RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-631-5333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092502601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192550501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.