Individual provider Active NPI

Diego De la Mora, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1124349667
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P6155 Issued in TX
Practice address
8045 N Loop Dr Ste a
El Paso, TX 79915-3227
Phone
(915) 215-5167
Fax
(915) 215-8640
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 P6155 TX Primary

Addresses

Primary practice location

8045 N Loop Dr Ste a
El Paso, TX 79915-3227

Mailing address

PO Box 360557
Pittsburgh, PA 15251-6557
Phone (915) 215-5167

Other names 1

  • Diego Delamora Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diego.de.la.mora.1@13711.direct.athenahealth.com

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
I20130911000095 TX Practitioner - Internal Medicine 9436393527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians
VMD Primary Providers of West Texas PLLCGroup PAC ID 7810327384, 29 clinicians

Practice addresses (Care Compare)

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

8045 N Loop Dr
Suite a
El Paso, TX 79915-3227
Phone (915) 248-1793

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6155TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Internal Medicine Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2013 Accepting new patients
VMD Primary Providers of West Texas PLLC Internal Medicine CurrentSince Dec 28, 2021 Accepting new patients
Texas Tech University Health Sciences Center Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Summit Medical Group Arizona LLC Internal Medicine PastSince Dec 28, 2021 Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

8045 N Loop Dr
Ste A
El Paso, TX 79915
Phone (915) 215-5167

2950 George Dieter Dr
Ste 6498
El Paso, TX 79936

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: diego.de.la.mora.1@13711.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1124349667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360557",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516557",
            "telephone_number": "915-215-5167",
            "fax_number": "915-215-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 N LOOP DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799153227",
            "telephone_number": "915-215-5167",
            "fax_number": "915-215-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA MORA",
        "first_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diego.de.la.mora.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "8045 N Loop Dr Ste A",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799153227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIEGO",
            "last_name": "DELAMORA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.