NPIMap

Organization Active NPI

CGN Epent

  • Otolaryngology Physician
  • El Paso, TX
National Provider Identifier
1053919308
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CGN EPENT
Practice address
5959 Gateway Blvd W Ste 160
El Paso, TX 79925-3315
Phone
(915) 779-5866
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Elizabeth Gonzales
Title
Billing/Credentialing Supervisor
Phone
(915) 779-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

5959 Gateway Blvd W Ste 160
El Paso, TX 79925-3315

Mailing address

5959 Gateway Blvd W Ste 160
El Paso, TX 79925-3315
Phone (915) 779-5866

Other practice location 1

10960 Montwood Dr Ste A-B
El Paso, TX 79935-3051
Phone (915) 779-5866

Other practice location 2

2100 N Mesa St
El Paso, TX 79902-3312
Phone (915) 779-5866

Other identifiers 3

IdentifierTypeStateIssuer
422602902MedicaidTX
153157602MedicaidTX
326176001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210121001236 TX Part B Supplier - Clinic/Group Practice 0446664114 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

5959 Gateway Blvd W
Ste 160
El Paso, TX 79925
Phone (915) 779-5866

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1053919308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 160",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 160",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10960 Montwood Dr Ste A-B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799353051",
            "country_code": "US",
            "telephone_number": "915-779-5866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023312",
            "country_code": "US",
            "telephone_number": "915-779-5866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CGN EPENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING  SUPERVISOR",
        "authorized_official_telephone_number": "915-779-5866"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422602902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153157602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326176001",
            "state": "TX"
        }
    ],
    "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 Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.