Individual provider Active NPI

Robert K Pohl, PA-C

  • Physician Assistant
  • Randolph AFB, TX
National Provider Identifier
1649333634
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03033 Issued in TX
Practice address
221 3Rd Street West, BLDG. 1040
Randolph AFB, TX 78150-4801
Phone
(210) 652-6403
NPI assigned
Dec 19, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03033 TX Primary

Addresses

Primary practice location

221 3Rd Street West, BLDG. 1040
Randolph AFB, TX 78150-4801

Mailing address

17006 Irongate Rail
San Antonio, TX 78247-6217
Phone (210) 656-9658

Other practice location 1

6565 West Loop S Ste 525
Bellaire, TX 77401-3519
Phone (713) 661-7888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001097 TX Practitioner - Physician Assistant 5496070302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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, 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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1649333634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17006 IRONGATE RAIL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782476217",
            "telephone_number": "210-656-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 3RD STREET WEST, BLDG. 1040",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "781504801",
            "telephone_number": "210-652-6403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 West Loop S Ste 525",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774013519",
            "country_code": "US",
            "telephone_number": "713-661-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POHL",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph AFB, TX

Sources for this page

Verify at the official NPI Registry.