Individual provider Active NPI

Roberto R Trevizo, FNP-BC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1144680299
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130486 Issued in TX
Practice address
300 S Zaragoza Rd
El Paso, TX 79907-6635
Phone
(915) 790-5700
Fax
(914) 790-5717
NPI assigned
Mar 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130486 TX Primary

Addresses

Primary practice location

300 S Zaragoza Rd
El Paso, TX 79907-6635

Mailing address

300 S Zaragoza Rd
El Paso, TX 79907-6635
Phone (915) 790-5700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328001109 TX Practitioner - Nurse Practitioner 4486951027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso County Hospital District 208 clinicians

Practice addresses (Care Compare)

1521 Joe Battle Blvd
El Paso, TX 79936-6286
Phone (915) 760-5700

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
90.22
Promoting interoperability
95
Improvement activities
40
Cost
75.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District CurrentSince Oct 9, 2017 Accepting new patients
El Paso County Hospital District CurrentSince Oct 9, 2017 Accepting new patients

Locations

1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

300 S Zaragoza Rd
El Paso, TX 79907
Phone (915) 860-8820

Interoperability endpoints

  • Direct secure messaging: robert.trevizo@direct.myhealthep.org

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.

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1144680299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076635",
            "telephone_number": "915-790-5700",
            "fax_number": "914-790-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076635",
            "telephone_number": "915-790-5700",
            "fax_number": "914-790-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVIZO",
        "first_name": "ROBERTO",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.