NPIMap

Individual provider Active NPI

Pedro Antonio Blandon, M.D

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1275531469
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L5254 Issued in TX
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 545-6618
Fax
(915) 545-6634
NPI assigned
Jul 12, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L5254 TX Primary
Nephrology Physician 207RN0300X C1-0006902 DE

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

PO Box 9520
El Paso, TX 79995-9520
Phone (915) 760-5317

Other identifiers 5

IdentifierTypeStateIssuer
M0145214OtherTXDPS (CONTROLLED SUBSTANCE
MD4244OtherDECONTROLLED SUBSTANCE #
1000022966MedicaidDE
L5254OtherTXTEXAS LICENSE
C1-0006902OtherDEDELAWARE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PEDRO.BLANDON@hca8.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060407000427 TX Practitioner - NephrologyPractitioner - Internal Medicine 0042229775 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

1250 E Cliff Dr
Suite 3E
El Paso, TX 79902-4847
Phone (915) 626-5548

5915 Silver Springs Dr
BLDG 3a
El Paso, TX 79912-4126
Phone (706) 296-8632

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40038TXMDOrthodontics and Dentofacial Orthopedic Dentist
L5254TXMDInternal Medicine Physician
C1-0006902DEMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Concord Medical Group PLLC CurrentSince Sep 1, 2014 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 1, 2006 Accepting new patients
Medical Office Force Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine Current Accepting new patients
Texas Tech University Health Sciences Center Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 1, 2014 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Modern MD PLLC PastSince Dec 4, 2020 Accepting new patients
First Horizon Medical Center PA Past Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

5915 Silver Springs Dr
Bldg 3A
El Paso, TX 79912
Phone (706) 296-8632

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: 11491-blandon-pedro@direct.leadingreach.com
  • Direct secure messaging: pedro.blandon.1@29251.direct.athenahealth.com
  • Direct secure messaging: pedro.blandon@hca8.eclinicaldirectplus.com

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 11

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275531469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799959520",
            "telephone_number": "915-760-5317",
            "fax_number": "915-545-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-545-6618",
            "fax_number": "915-545-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDON",
        "first_name": "PEDRO",
        "middle_name": "ANTONIO",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5254",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DE",
            "license": "C1-0006902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS (CONTROLLED SUBSTANCE",
            "identifier": "M0145214",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE #",
            "identifier": "MD4244",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000022966",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "L5254",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE LICENSE",
            "identifier": "C1-0006902",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PEDRO.BLANDON@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4801 Alberta Ave",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799052707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.