Individual provider Active NPI

Jaime D Robledo, MD

  • Interventional Pain Medicine Physician
  • Katy, TX
National Provider Identifier
1942352604
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K6916 Issued in TX
Practice address
21830 Kingsland Blvd Ste 102
Katy, TX 77450
Phone
(281) 717-4902
Fax
(281) 944-9380
NPI assigned
Jan 16, 2007
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X K6916 TX Primary

Addresses

Primary practice location

21830 Kingsland Blvd Ste 102
Katy, TX 77450

Mailing address

21830 Kingsland Blvd Ste 102
Katy, TX 77450-2500
Phone (281) 717-4902

Other identifiers 1

IdentifierTypeStateIssuer
1235463928OtherTXNPI

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
I20090223000480 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6901978048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaime Robledo MD PAGroup PAC ID 8628110244, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

21830 Kingsland Blvd
Suite 102
Katy, TX 77450-2500
Phone (281) 717-4902

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Clinic for Pain Management CurrentSince Oct 1, 2022 Accepting new patients
Jaime Robledo MD PA Interventional Pain Medicine CurrentSince Dec 16, 2009 Accepting new patients
NWH Anesthesia Support Past Accepting new patients
Align Healthcare Past Accepting new patients
Citizens Medical Center County of Victoria Interventional Pain Medicine Past Accepting new patients
Greater Houston Interventional Pain Associates Past Accepting new patients

Locations

4770 N Expressway
Ste 103
Brownsville, TX 78526
Phone (956) 350-4770

23530 Kingsland Blvd
Ste 200
Katy, TX 77494
Phone (281) 717-4902

21402 Provincial Blvd
Katy, TX 77450
Phone (281) 203-0600

21830 Kingsland Blvd
Ste 102
Katy, TX 77450
Phone (281) 717-4902

801 E Nolana Ave
Ste 7
McAllen, TX 78504
Phone (956) 687-8120

1327 Lake Pointe Pkwy
Ste 520
Sugar Land, TX 77478
Phone (713) 590-5470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIDGCA/Endpoint/HIDGCA

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.

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1942352604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502500",
            "telephone_number": "281-717-4902",
            "fax_number": "281-944-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-717-4902",
            "fax_number": "281-944-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEDO",
        "first_name": "JAIME",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K6916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235463928",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.