Modern MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MODERN MD PLLC

Practice address

5915 Silver Springs Dr BLDG 3a
El Paso, TX 79912-4126

Phone

(915) 228-3080

NPI assigned

Dec 16, 2020

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Lopez-PO, MDNPI 1467797811

Title

President

Phone

(915) 228-3080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Lopez PO, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1467797811
  Medicare reassignment Care Compare group NPD Authorized official
• Frida Villanueva, NP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1518754522
  Medicare reassignment Care Compare group NPD
• Jessica Diane Feldman, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1023887254
  Medicare reassignment NPD
• Leo Lawrence Altenberg, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1033201488
  NPD (past)
• Pedro Antonio Blandon, M.D

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1275531469
  NPD (past)
• Kyle N Burditt, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1447312434
  NPD (past)
• Abel Camino Benech, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1871104232
  NPD (past)
• Radu I Ciubuc, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • El Paso, TX
  • NPI 1568477321
  NPD (past)
• Yordanis Rafael Fonseca Vega

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1801494554
  NPD (past)
• Alfredo Jose Gonzalez Priede

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1396399416
  NPD (past)
• Tahir Hafeez, M.D.

  • Nephrology Physician
  • Baytown, TX
  • NPI 1770516510
  NPD (past)
• Jose Jimenez Camacho, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1710699855
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1104412931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 SILVER SPRINGS DR BLDG 3A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124126",
            "telephone_number": "915-228-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-PO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-228-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobilemed Home Team PLLC
• Mobilemed, PLLC
• Mobility Medical
• Modern Dental Incorporated
• Modern Dental Professionals-El Paso, PC (Monarch Dental)
• Paresh Ranchoddas Modh, R.PH
• Michelle Raejean Moe, LAT, ATC
• Amanda Paige Moeller, P.T.
• Susan Moeller
• Nicholas Clark Moesinger, DO

• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.