Individual provider Active NPI

Rafael Raymundo Pardo, MD

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1578565826
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F7027 Issued in TX
Practice address
2800 Garth Rd
Baytown, TX 77521-3947
Phone
(281) 425-3800
Fax
(281) 425-3992
NPI assigned
Jun 1, 2005
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F7027 TX Primary

Addresses

Primary practice location

2800 Garth Rd
Baytown, TX 77521-3947

Mailing address

2800 Garth Rd
Baytown, TX 77521-3947
Phone (281) 425-3800

Other identifiers 1

IdentifierTypeStateIssuer
136643705MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000277 TX Practitioner - Family Practice 0042225013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7027TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacinto Medical Group P a Family Medicine CurrentSince Sep 1, 1980 Accepting new patients
Baytown Urgent Care Past Accepting new patients

Locations

2800 Garth Rd
Baytown, TX 77521
Phone (281) 425-3800

Interoperability endpoints

  • Direct secure messaging: rpardo69768@directhoustonmethodist.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1578565826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-425-3800",
            "fax_number": "281-425-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-425-3800",
            "fax_number": "281-425-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "RAFAEL",
        "middle_name": "RAYMUNDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136643705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.