Individual provider Active NPI

Shelley Sales Lazaro, M.D.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1033345962
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P5545 Issued in TX
Practice address
1733 Curie Dr Ste 103
El Paso, TX 79902-2909
Phone
(915) 532-2985
Fax
(915) 577-9315
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10034710 TX
Pediatrics Physician 208000000X P5545 TX Primary

Addresses

Primary practice location

1733 Curie Dr Ste 103
El Paso, TX 79902-2909

Mailing address

1733 Curie Dr Ste 103
El Paso, TX 79902-2909
Phone (915) 532-2985

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
I20170110001026 TX Practitioner - Pediatric Medicine 2769763507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5545TXMDPediatrics Physician
BP10034710TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District Pediatrics Current Accepting new patients
El Paso County Hospital District CurrentSince Sep 23, 2024 Accepting new patients

Locations

1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Organizations & group practices 2

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1033345962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022909",
            "telephone_number": "915-532-2985",
            "fax_number": "915-577-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022909",
            "telephone_number": "915-532-2985",
            "fax_number": "915-577-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "SHELLEY",
        "middle_name": "SALES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10034710",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P5545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.