Individual provider Active NPI

Paul Jeffrey Resignato, DPM

  • Foot Surgery Podiatrist
  • El Paso, TX
National Provider Identifier
1093799249
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
871 Issued in TX
Practice address
1722 N Zaragoza Rd
Ste C
El Paso, TX 79936-8033
Phone
(915) 855-3338
Fax
(915) 564-5579
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0871 TX
Foot Surgery Podiatrist 213ES0131X 871 TX Primary

Addresses

Primary practice location

1722 N Zaragoza Rd
Ste C
El Paso, TX 79936-8033

Mailing address

PO Box 3192
El Paso, TX 79923-3192
Phone (915) 855-3338

Other identifiers 1

IdentifierTypeStateIssuer
110391302MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000622 TX Practitioner - Podiatry 7810022712 Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 Murchison Dr
Suite 200
El Paso, TX 79902-2906
Phone (915) 858-6971

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of tissue181
Removal of nail tissue29
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0871TXMDFoot & Ankle Surgery Podiatrist
871TXMDFoot Surgery Podiatrist

Hospital & facility affiliations 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1093799249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3192",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799233192",
            "telephone_number": "915-855-3338",
            "fax_number": "915-564-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 N ZARAGOZA RD",
            "address_2": "STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368033",
            "telephone_number": "915-855-3338",
            "fax_number": "915-564-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESIGNATO",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0871",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110391302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.