Individual provider Active NPI

Juan A. Montelongo, MD

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1114955184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H6445 Issued in TX
Practice address
2001 N Oregon St
El Paso, TX 79902-3320
Phone
(915) 577-6011
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H6445 TX Primary

Addresses

Primary practice location

2001 N Oregon St
El Paso, TX 79902-3320

Mailing address

1717 Main St
Suite 5200
Dallas, TX 75201-4605
Phone (214) 712-2074

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
I20061026000458 TX Practitioner - Emergency Medicine 6305843764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 29, 2018 Accepting new patients
Affilion LLC Past Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114955184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014605",
            "telephone_number": "214-712-2074",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023320",
            "telephone_number": "915-577-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELONGO",
        "first_name": "JUAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H6445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.