Active NPI
James Allen Blackburn, PA-C
- Physician Assistant
- Webster, TX
National Provider Identifier
1376543553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02302
- Practice address
- 500 N Kobayashi Ste C
Webster, TX 77598-4722 - Phone
- (281) 747-9313
- Fax
- (281) 724-0487
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02302 | TX | Primary |
Addresses
Primary practice location
500 N Kobayashi Ste C
Webster, TX 77598-4722
Mailing address
PO Box 58662
Webster, TX 77598-8662
Phone (281) 747-9313
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N Kobayashi
Webster, TX 77598-4722
Phone (281) 747-9313
Hospital & facility affiliations
- HCA Houston Healthcare Clear Lake
- Clear Lake Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cesar Nahas MD PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Webster, TX
- NPI 1063917268
-
- Infectious Disease Physician
- Webster, TX
- NPI 1750305355
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Webster, TX
- NPI 1477984946
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
-
- Rehabilitation Hospital Unit
- Webster, TX
- NPI 1881648855
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1376543553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58662",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775988662",
"telephone_number": "281-747-9313",
"fax_number": "281-724-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N KOBAYASHI STE C",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984722",
"telephone_number": "281-747-9313",
"fax_number": "281-724-0487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "JAMES",
"middle_name": "ALLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.