Intellimedicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K1945 Issued in TX

Legal business name

INTELLIMEDICINE, PA

Practice address

154 North Festival Drive, Villa F
El Paso, TX 79912-6184

Phone

(915) 532-5858

Fax

(915) 532-5859

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Roxanne Tyroch, MDNPI 1972571743

Title

Physician/Owner

Phone

(915) 532-5858

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8722/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Marie Tyroch, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1972571743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1134545924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 N MESA ST # 537",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124607",
            "telephone_number": "915-261-4377",
            "fax_number": "915-532-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 NORTH FESTIVAL DRIVE, VILLA F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126184",
            "telephone_number": "915-532-5858",
            "fax_number": "915-532-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIMEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "TYROCH",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "915-532-5858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MED LIC",
            "identifier": "K1945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Integrity Eap
• Integrity Family Medical Practice
• Intensive Home Care Services Inc
• Internal Medicine El Paso PA
• Internal Medicine Group PA
• Internal Medicine Providers of El Paso PLLC
• International AIDS Empowerment Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.