Mauricio Davalos, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

N1606 Issued in TX

Practice address

10175 Gateway Blvd W
Suite 320
El Paso, TX 79925-7618

Phone

(915) 225-2456

Fax

(915) 503-2112

NPI assigned

Oct 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Urology

Education

Albany Medical College of Union University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mauriciodavalos@rgu.medalliesdirect.net

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.

• Rio Grande Urology PA

  • Specialist
  • El Paso, TX
  • NPI 1750416921
  Medicare reassignment Care Compare group NPD
• Advanced Urology of El Paso, P.a

  • Urology Physician
  • El Paso, TX
  • NPI 1194966309
  NPD (past) Authorized official

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

• El Paso Healthcare System LTD

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1114179678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123537",
            "telephone_number": "915-532-8823",
            "fax_number": "915-532-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W",
            "address_2": "SUITE 320",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257618",
            "telephone_number": "915-225-2456",
            "fax_number": "915-503-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALOS",
        "first_name": "MAURICIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "N1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Jacqueline Dashnaw, NNP-BC
• Kristen Dawn Daugherty, LISW
• Alejandro Davalos, CRNA
• Jocelyn Davalos, APRN
• Maria C Davalos
• Valerie Davalos, BCBA
• Amanda Dave, MD
• Davenport Anesthesia PLLC
• Danielle Davenport, CRNA
• Dustin Allen Davenport, MD

• Urology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.