Individual provider Active NPI

Mariana Marin Yates, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • El Paso, TX
National Provider Identifier
1154584449
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P1356 Issued in TX
Practice address
128 Thunderbird Dr Ste E
El Paso, TX 79912-4570
Phone
(915) 566-9369
Fax
(915) 566-8120
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD.207546 LA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P1356 TX Primary

Addresses

Primary practice location

128 Thunderbird Dr Ste E
El Paso, TX 79912-4570

Mailing address

529 Lindbergh Ave
El Paso, TX 79932-2529
Phone (703) 409-9253

Other names 1

  • Mariana Esther Marin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1356TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Issa Institute for Holistic Health, PLLC CurrentSince Aug 14, 2022 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

128 Thunderbird Dr
Ste E
El Paso, TX 79912
Phone (915) 566-9369

Interoperability endpoints

  • Direct secure messaging: mariana.yates.1@9635.direct.athenahealth.com
  • Direct secure messaging: mariana.yates@direct.myhealthep.org

Organizations & group practices 2

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1154584449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 LINDBERGH AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322529",
            "telephone_number": "703-409-9253",
            "fax_number": "915-566-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 THUNDERBIRD DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124570",
            "telephone_number": "915-566-9369",
            "fax_number": "915-566-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "MARIANA",
        "middle_name": "MARIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "MD.207546",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "MARIN",
            "middle_name": "ESTHER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.