PEDRO A BLANDON MD PA
NPI 1073023131
Internal Medicine - Nephrology in El Paso, TX

Active since October 03, 2017CLIA 45D2317069 · Waiver
1250 E CLIFF DR STE 3E, EL PASO, TX 79902(915) 244-0598(888) 299-2163 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Pedro A Blandon Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO A BLANDON MD PA (NPI 1073023131) is a healthcare organization registered as a nephrology in El Paso, Texas and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Pedro Blandon, President, as its authorized official.

NPPES Registry Identity

NPI1073023131
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePEDRO A BLANDON MD PA
Location Address1250 E CLIFF DR STE 3EEl Paso, TX 79902-4847
Mailing Address1250 E Cliff Dr Ste 3eEl Paso, TX 79902-4847 · (915) 626-5548 · Fax (915) 626-5411
Fax(888) 299-2163
Organization SubpartNo
Authorized OfficialPedro BlandonPresident · (915) 491-4807
Enumeration DateOctober 3, 2017
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1073023131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1250 E CLIFF DR STE 3E, El Paso, TX 79902

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro A Blandon Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pedro A Blandon MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1275531469
4801 ALBERTA AVE
El Paso, TX 79905
(915) 545-6618
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2317069

Pedro A Blandon MD PA · El Paso, TX
Active · expires Jan 15, 2027
CLIA Number45D2317069
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Pedro A. Blandon
Laboratory Phone(915) 224-0598
Laboratory LocationPedro A Blandon MD PA1250 E Cliff Dr Ste 3E, El Paso, TX 79902
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro A Blandon MD PA's NPI number?

The NPI number for Pedro A Blandon MD PA is 1073023131. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Pedro A Blandon MD PA located?

Pedro A Blandon MD PA is located at 1250 E Cliff Dr Ste 3E, El Paso, TX 79902. The listed phone number is (915) 244-0598.

What is Pedro A Blandon MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pedro A Blandon MD PA enrolled in Medicare?

Yes. Pedro A Blandon MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pedro A Blandon MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Pedro A Blandon MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pedro A Blandon MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2317069) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pedro A Blandon MD PA was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.