Individual provider Active NPI

Adriana M Urtubey, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1083629794
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4775 Issued in TX
Practice address
1810 Murchison Dr
Ste 300
El Paso, TX 79902-2930
Phone
(915) 533-8544
Fax
(915) 533-8207
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L4775 TX Primary

Addresses

Primary practice location

1810 Murchison Dr
Ste 300
El Paso, TX 79902-2930

Mailing address

1810 Murchison Dr
Ste 300
El Paso, TX 79902-2930
Phone (915) 533-8544

Other identifiers 5

IdentifierTypeStateIssuer
144131304MedicaidTX
144131306MedicaidTX
23707348MedicaidNM
319434YLPSOtherTXWELLMED PTAN
144131303MedicaidTX

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
I20051019001081 TX Practitioner - Internal Medicine 7416973367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39685TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Group of El Paso PA Internal Medicine Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1083629794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MURCHISON DR",
            "address_2": "STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022930",
            "telephone_number": "915-533-8544",
            "fax_number": "915-533-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MURCHISON DR",
            "address_2": "STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022930",
            "telephone_number": "915-533-8544",
            "fax_number": "915-533-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URTUBEY",
        "first_name": "ADRIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144131304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144131306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23707348",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "319434YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144131303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.