Individual provider Active NPI

Reo P Pugao, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • El Paso, TX
National Provider Identifier
1063689065
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
27779 Issued in TX
Practice address
10175 Gateway Blvd W
Ste 304
El Paso, TX 79925-7618
Phone
(915) 504-6880
Fax
(915) 599-8579
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 27779 TX Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 27779 TX

Addresses

Primary practice location

10175 Gateway Blvd W
Ste 304
El Paso, TX 79925-7618

Mailing address

10175 Gateway Blvd W Ste 304
El Paso, TX 79925-2203
Phone (915) 504-6880

Other practice location 1

12780 Rojas Dr
El Paso, TX 79928-5474
Phone (915) 642-7005

Other practice location 2

601 Sunland Park Dr Ste 2
El Paso, TX 79912-5229
Phone (915) 213-2840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pugao@hdofs.com Direct

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
I20130917000507 TX Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5294979068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Loma Linda University School of Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc El Paso Healthcare IncGroup PAC ID 5395156996, 38 clinicians
West Texas Maxillofacial Surgery PAGroup PAC ID 9436328473, 2 clinicians

Practice addresses (Care Compare)

10410 Vista del Sol Dr
El Paso, TX 79925-7919
Phone (915) 532-9000

601 Sunland Park Dr
Suite 2
El Paso, TX 79912-5229
Phone (915) 504-6880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27779TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
El Paso County Hospital District Oral and Maxillofacial Surgery CurrentSince Aug 1, 2020 Accepting new patients
Umc El Paso Healthcare Inc Oral and Maxillofacial Surgery CurrentSince Mar 18, 2021 Accepting new patients

Locations

10410 Vista del Sol Dr
El Paso, TX 79925
Phone (915) 200-2680

4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIDFDD/Endpoint/HIDFDD
  • Direct secure messaging: reo.pugao@direct.myhealthep.org
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1063689065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252203",
            "telephone_number": "915-504-6880",
            "fax_number": "915-599-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W",
            "address_2": "STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257618",
            "telephone_number": "915-504-6880",
            "fax_number": "915-599-8579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12780 Rojas Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799285474",
            "country_code": "US",
            "telephone_number": "915-642-7005",
            "fax_number": "915-599-8579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Sunland Park Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799125229",
            "country_code": "US",
            "telephone_number": "915-213-2840",
            "fax_number": "915-599-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGAO",
        "first_name": "REO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "27779",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "27779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pugao@hdofs.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10175 GATEWAY BLVD W",
            "address_2": "STE 304",
            "city": "EL PASO",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799257618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.