Individual provider Active NPI

Aldo Fernando Bejarano, M.D.

  • Pediatrics Physician
  • Pasadena, TX
National Provider Identifier
1447317342
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K0631 Issued in TX
Practice address
3326 Watters Rd BLDG D
Pasadena, TX 77504-2053
Phone
(832) 386-9200
Fax
(832) 386-9203
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K0631 TX Primary

Addresses

Primary practice location

3326 Watters Rd BLDG D
Pasadena, TX 77504-2053

Mailing address

P.O. Box 2264
Suite 230
Pearland, TX 77588
Phone (832) 386-9200

Other identifiers 6

IdentifierTypeStateIssuer
0075MBOtherTXBLUE CROSS BLUE SHIELD TX
129757407MedicaidTX
129757409MedicaidTX
5318676OtherTXAETNA INSURANCE
10016354OtherAMERIGROUP
7917366OtherCIGNA INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aldo@aldofbejaranomdpa.opdirect.net Aldo F Bejarano MD PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K0631TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aldo F Bejarano MD PA Pediatrics CurrentSince Feb 25, 2024 Accepting new patients

Locations

3801 Vista Rd
Ste 350B
Pasadena, TX 77504

3326 Watters Rd
Bldg D
Pasadena, TX 77504
Phone (832) 386-9200

Interoperability endpoints

  • Direct secure messaging: aldo@aldofbejaranomdpa.opdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1447317342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2264",
            "address_2": "SUITE 230",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77588",
            "telephone_number": "832-386-9200",
            "fax_number": "832-386-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 WATTERS RD BLDG D",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042053",
            "telephone_number": "832-386-9200",
            "fax_number": "832-386-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJARANO",
        "first_name": "ALDO",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K0631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0075MB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129757407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129757409",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "5318676",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "7917366",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aldo@aldofbejaranomdpa.opdirect.net",
            "affiliation": "Y",
            "affiliationName": "Aldo F Bejarano MD PA",
            "address_1": "3326 Watters Rd Bldg D",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775042053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.