Individual provider Active NPI

Ricardo R Pardo, MD

  • Neurology Physician
  • Baytown, TX
National Provider Identifier
1932101243
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
F9922 Issued in TX
Practice address
2800 Garth Rd
Baytown, TX 77521-3947
Phone
(281) 425-3800
Fax
(281) 425-3992
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X F9922 TX Primary

Addresses

Primary practice location

2800 Garth Rd
Baytown, TX 77521-3947

Mailing address

2800 Garth Rd
Baytown, TX 77521-3947
Phone (281) 425-3800

Other identifiers 1

IdentifierTypeStateIssuer
135229601MedicaidTX

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
I20100222000411 TX Practitioner - Neurology 9133134109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9922TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacinto Medical Group P a CurrentSince Nov 1, 1981 Accepting new patients

Locations

2800 Garth Rd
Baytown, TX 77521
Phone (281) 425-3800

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1932101243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-425-3800",
            "fax_number": "281-425-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-425-3800",
            "fax_number": "281-425-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "RICARDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135229601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.