Individual provider Active NPI

Jaime Arturo Jimenez, M.D.

  • Pediatrics Physician
  • McAllen, TX
National Provider Identifier
1790735041
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1486 Issued in TX
Practice address
801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117
Phone
(956) 686-2700
Fax
(956) 686-2708
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 K1486 TX Primary

Addresses

Primary practice location

801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117

Mailing address

801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117
Phone (956) 686-2700

Other identifiers 1

IdentifierTypeStateIssuer
1295362-13MedicaidTX

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
I20210115001694 TX Practitioner - Pediatric Medicine 5496168262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1486TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarojini Bose MD PA Pediatrics CurrentSince Jan 8, 2021 Accepting new patients
Dr Bose Industrial & Family Medicine PLLC PastSince May 1, 2014 Accepting new patients
Upper Valley Pediatrics, PLLC Pediatrics Past Accepting new patients

Locations

1315 W Main Ave
#13A
Alton, TX 78573
Phone (956) 432-0222

1315 W Main Ave
Ste 13A
Alton, TX 78573
Phone (956) 432-0222

701 N Main St
Ste B
Donna, TX 78537
Phone (956) 464-3649

1903 E Monte Cristo Rd
Edinburg, TX 78542
Phone (956) 259-0405

514 S Closner Blvd
Edinburg, TX 78539
Phone (956) 287-2300

328 E Expressway 83
Ste A
La Joya, TX 78560
Phone (956) 270-4705

801 E Nolana Ave
Ste 13A
McAllen, TX 78504
Phone (956) 686-2700

2029 E Griffin Pkwy
Mission, TX 78572
Phone (956) 424-3222

220 S Conway Ave
#A
Mission, TX 78572
Phone (956) 348-4555

17927A Washington Palm Dr
Penitas, TX 78576
Phone (956) 271-1048

6201 S Cage Blvd
Ste 5
Pharr, TX 78577
Phone (956) 283-7070

Interoperability endpoints

  • Direct secure messaging: jaime.jimenez@ashleypediatrics.opdirect.net

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1790735041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 13A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046117",
            "telephone_number": "956-686-2700",
            "fax_number": "956-686-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 13A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046117",
            "telephone_number": "956-686-2700",
            "fax_number": "956-686-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JAIME",
        "middle_name": "ARTURO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295362-13",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.