Individual provider Active NPI

Reynaldo Pardo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
National Provider Identifier
1639297328
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME103267 Issued in FL
Practice address
12078 San Jose Blvd Ste 2
Jacksonville, FL 32223-8671
Phone
(904) 647-9199
Fax
(904) 647-9198
NPI assigned
Mar 27, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME103267 FL Primary

Addresses

Primary practice location

12078 San Jose Blvd Ste 2
Jacksonville, FL 32223-8671

Mailing address

12078 San Jose Blvd Ste 2
Jacksonville, FL 32223-8671
Phone (904) 647-9199

Other identifiers 9

IdentifierTypeStateIssuer
3193466OtherFLGWH
342136OtherFLAVMED
272694309OtherFLBEECHSTREET
3193466OtherFLCIGNA
272694309OtherFLMULTIPLAN
149UWOtherFLBCBS
00200007388OtherFLUNITED HEALTHCARE
272694309OtherFLPIP
272694309OtherFLWORKERS COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101029000889 FL Practitioner - Interventional Pain ManagementPractitioner - Pain Management 6608769260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12078 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8671
Phone (904) 647-9199

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Pain and Injury Center, Inc CurrentSince Oct 27, 2012 Accepting new patients
Perry JC MD PA Past Accepting new patients
Anesthesia Care of Litchfield SC Past Accepting new patients
Anesthesia Care of Effingham, SC Pain Medicine Past Accepting new patients
Prime Care Injury Clinic, LLC PastSince Aug 9, 2021 Accepting new patients
Paul M Romine PA North Lakeland Chiropractic Past Accepting new patients

Locations

12078 San Jose Blvd
Ste 2
Jacksonville, FL 32223
Phone (904) 647-9199

Organizations & group practices 7

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1639297328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238671",
            "telephone_number": "904-647-9199",
            "fax_number": "904-647-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238671",
            "telephone_number": "904-647-9199",
            "fax_number": "904-647-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "REYNALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME103267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GWH",
            "identifier": "3193466",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "342136",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "272694309",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3193466",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "272694309",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "149UW",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00200007388",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIP",
            "identifier": "272694309",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "272694309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.