NPIMap

Individual provider Active NPI

Pablo De Jesus Olmedo, MD

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1609057074
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8225 Issued in TX
Practice address
1102 W Trenton Rd
Atttn: McAllen Hospitalist Program
Edinburg, TX 78539-9105
Phone
(956) 213-5111
Fax
(956) 289-5040
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8225 TX Primary
Hospitalist Physician 208M00000X M8225 TX

Addresses

Primary practice location

1102 W Trenton Rd
Atttn: McAllen Hospitalist Program
Edinburg, TX 78539-9105

Mailing address

1400 W Trenton Rd
Atttn: Physician Practice Administrator
Edinburg, TX 78539-3413
Phone (956) 388-2207

Other identifiers 1

IdentifierTypeStateIssuer
202365703MedicaidTX

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
I20080328000433 TX Practitioner - Family PracticePractitioner - Hospitalist 1254417371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McAllen Hospitalist Group PLLCGroup PAC ID 9830113836, 106 clinicians

Practice addresses (Care Compare)

1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone (956) 388-6000

3401 W Mile 5 Rd
Suite 1
Mission, TX 78574-5177

4213 W Mile 5 Rd
Suite a
Mission, TX 78574-6354
Phone (956) 580-2145

Hospital & facility affiliations

  • Bristol Hospice - North Central Texas Hospice, Waxahachie, TX, CCN 451743
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8225TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Family Medicine CurrentSince Aug 23, 2012 Accepting new patients
Leading Edge Emergency Physicians, Inc PastSince Aug 11, 2019 Accepting new patients
McAllen Hospitals L P Past Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1400 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-2187

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1609057074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W TRENTON RD",
            "address_2": "ATTTN: PHYSICIAN PRACTICE ADMINISTRATOR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393413",
            "telephone_number": "956-388-2207",
            "fax_number": "956-289-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "address_2": "ATTTN: MCALLEN HOSPITALIST PROGRAM",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-213-5111",
            "fax_number": "956-289-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMEDO",
        "first_name": "PABLO",
        "middle_name": "DE JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8225",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M8225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202365703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.