Active NPI
Jorge Ivan Contreras, M.D.
- Otolaryngology Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- P7624
- Practice address
- 5959 Gateway Blvd W
160
El Paso, TX 79925-3331 - Phone
- (915) 779-1716
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | RS20070279 | NM | |
| Otolaryngology Physician | 207Y00000X | P7624 | TX | Primary |
Addresses
Primary practice location
5959 Gateway Blvd W
160
El Paso, TX 79925-3331
Mailing address
5959 Gateway Blvd W
160
El Paso, TX 79925-3331
Phone (915) 779-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RS20070279 | Other | NM | TRAINING |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of New Mexico School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5959 Gateway Blvd W
160 CGN Epent PLLC
El Paso, TX 79925-3315
Phone (915) 779-5866
Hospital & facility affiliations
- The Hospitals of Providence - Memorial Campus
- Sierra Medical Center
- The Hospitals of Providence - East Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS20070279 | NM | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CGN Epent | Otolaryngology | Current | Accepting new patients |
Locations
201 Bartlett Dr
#A
El Paso, TX 79912
Phone (915) 779-5866
5959 Gateway Blvd W
Ste 160
El Paso, TX 79925
Phone (915) 779-5866
Interoperability endpoints
- jorgecontreras@epentapa.allscriptsdirect.net
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.
-
- Otolaryngology Physician
- El Paso, TX
- NPI 1053919308
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1033315411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "160",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-779-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "160",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-779-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "JORGE",
"middle_name": "IVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "RS20070279",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "P7624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING",
"identifier": "RS20070279",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.