Individual provider Active NPI

Gerardo J. Moreira, M.D., P.A.

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1013935675
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J1320 Issued in TX
Practice address
1600 Montana Ave
El Paso, TX 79902-5622
Phone
(915) 877-3410
Fax
(915) 351-3643
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X J1320 TX
Psychiatry Physician 2084P0800X J1320 TX Primary

Addresses

Primary practice location

1600 Montana Ave
El Paso, TX 79902-5622

Mailing address

2415 E Yandell Dr
El Paso, TX 79903-3616
Phone (915) 577-0111

Other practice location 1

1601 E Yandell Dr
El Paso, TX 79902-5677
Phone (915) 887-3410

Other practice location 2

5065 McNutt Rd
Santa Teresa, NM 88008-9442
Phone (915) 542-1515

Other practice location 3

8500 Boeing Dr
El Paso, TX 79925-1224
Phone (915) 877-3410

Other practice location 4

10737 Gateway Blvd W Ste 250
El Paso, TX 79935-4912
Phone (915) 887-3410

Other identifiers 4

IdentifierTypeStateIssuer
1151755-02MedicaidTX
F28006MedicaidNM
TXB147437OtherTXMEDICARE
1013935675MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031209000371 NM Practitioner - Psychiatry 0648176982 Reassigns benefits to 1 organization
I20120329000142 TX Practitioner - Psychiatry 0648176982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

1600 Montana Ave
El Paso, TX 79902-5622
Phone (915) 887-3410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Dec 19, 2011 Accepting new patients
Gerardo J. Moreira, M.D., P.a. Addiction Medicine CurrentSince Aug 1, 2002 Accepting new patients
El Paso Community MHMR CurrentSince Dec 19, 2011 Accepting new patients
El Paso Community MHMR Past Accepting new patients
SBH El Paso, LLC Psychiatry Past Accepting new patients
Psychiatric Health Services, P.a. Psychiatry PastSince Aug 1, 2002 Accepting new patients

Locations

5060 McNutt Rd
Santa Teresa, NM 88008
Phone (505) 589-3000

6044 Gateway Blvd E
Ste 405
El Paso, TX 79905
Phone (915) 593-5085

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

2415 E Yandell Dr
El Paso, TX 79903
Phone (915) 274-4188

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

3800 N Mesa St
Ste A2
El Paso, TX 79902
Phone (540) 597-7137

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

Organizations & group practices 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1013935675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033616",
            "telephone_number": "915-577-0111",
            "fax_number": "915-533-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025622",
            "telephone_number": "915-877-3410",
            "fax_number": "915-351-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E Yandell Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025677",
            "country_code": "US",
            "telephone_number": "915-887-3410",
            "fax_number": "915-351-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5065 McNutt Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Teresa",
            "state": "NM",
            "postal_code": "880089442",
            "country_code": "US",
            "telephone_number": "915-542-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Boeing Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799251224",
            "country_code": "US",
            "telephone_number": "915-877-3410",
            "fax_number": "915-351-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10737 Gateway Blvd W Ste 250",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799354912",
            "country_code": "US",
            "telephone_number": "915-887-3410",
            "fax_number": "915-351-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "GERARDO",
        "middle_name": "J.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "J1320",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J1320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151755-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F28006",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB147437",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013935675",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.