Individual provider Active NPI

Jairo A Melo, M.D.

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1912904079
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K1260 Issued in TX
Practice address
21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669
Phone
(210) 690-7400
Fax
(210) 957-6956
NPI assigned
Jul 5, 2005
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K1260 TX
Pulmonary Disease Physician 207RP1001X K1260 TX Primary

Addresses

Primary practice location

21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669

Mailing address

21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669
Phone (210) 690-7400

Other identifiers 2

IdentifierTypeStateIssuer
8AW555OtherTXBLUE CROSS
047531103MedicaidTX

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
I20050405001070 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0941257679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1434 E Sonterra Blvd
Suite 210
San Antonio, TX 78258-4973
Phone (210) 690-7400

34910 Interstate 10 W
Suite 601
Boerne, TX 78006-9230
Phone (210) 690-7400

4458 Medical Dr
Suite 505
San Antonio, TX 78229-3748
Phone (210) 690-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1260TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Consultants of San Antonio, PA Pulmonary Disease Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14591/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1912904079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 230B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-690-7400",
            "fax_number": "210-957-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SUITE 230B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-690-7400",
            "fax_number": "210-957-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "JAIRO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1260",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AW555",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047531103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.