ALEJANDRO ARBOLEDA
NPI 1881153609
Ophthalmology in Houston, TX

Q: What is Alejandro Arboleda's NPI number?

The NPI number for Alejandro Arboleda is 1881153609. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Alejandro Arboleda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

1504 TAUB LOOP, HOUSTON, TX 77030(713) 873-8890 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Sep 5, 2024, Mar 19, 2019 (3 updates tracked since 2019).

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About Alejandro Arboleda NPPES

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

ALEJANDRO ARBOLEDA (NPI 1881153609) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (V3234) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881153609

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameALEJANDRO ARBOLEDA

Location Address1504 TAUB LOOPHouston, TX 77030-1608

Mailing Address4231 Sw 13th TerMiami, FL 33134-2724

Phone(713) 873-8890

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019

Enumeration DateMarch 19, 2019

Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1881153609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · V3234

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License V3234 (TX)

1504 TAUB LOOP, Houston, TX 77030

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Secondary Practice Locations 2

Location 11977 Butler BlvdHouston, TX 77030-4101 · Phone (713) 798-6100

Location 21431 SW 1st AveOcala, FL 34471-6500 · Phone (305) 469-1256

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alejandro Arboleda is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971962283

PECOS Enrollment IDI20240918001622

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAVEN SARGSYAN MD

Internal Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

KAYE-ANN ANTONETTE CHRISTIE PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2000

EMILY MARIE WEBSTER PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

DR. MIGUEL A NIETO D.O.

Emergency Medicine

1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030

Harris County (713) 873-7045

DR. LOUIS BRUNO FORNAGE MD

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-3060

EMMA NAPOLI

Internal Medicine (Infectious Disease)

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2309

DR. MICHELE TROUTMAN GIFFORD MD

Obstetrics & Gynecology

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 798-1750

DR. KYLE SUEN M.D.

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

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 Alejandro Arboleda's NPI number?

The NPI number for Alejandro Arboleda is 1881153609. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Alejandro Arboleda located?

Alejandro Arboleda practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 873-8890.

What is Alejandro Arboleda's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alejandro Arboleda enrolled in Medicare?

Yes. Alejandro Arboleda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alejandro Arboleda accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Alejandro Arboleda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alejandro Arboleda affiliated with any hospitals?

According to CMS data, Alejandro Arboleda is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, Harris Health System and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Alejandro Arboleda was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.