Individual provider Active NPI

Isaac A Villado, NP

  • Gerontology Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1164296018
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1139018 Issued in TX
Practice address
1512 N Zaragoza Rd Ste B
El Paso, TX 79936-8903
Phone
(915) 213-0900
NPI assigned
Nov 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1139018 TX Primary

Addresses

Primary practice location

1512 N Zaragoza Rd Ste B
El Paso, TX 79936-8903

Mailing address

1512 N Zaragoza Rd Ste B
El Paso, TX 79936-8903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231130001561 TX Practitioner - Nurse Practitioner 9335597459 Reassigns benefits to 4 organizations
I20240918000895 NM Practitioner - Nurse Practitioner 9335597459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of New Mexico-TCG LLCGroup PAC ID 7810248218, 20 clinicians
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians
Asad Omar MD PAGroup PAC ID 4486938586, 9 clinicians

Practice addresses (Care Compare)

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 522-8640

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

5539 N Mesa St
El Paso, TX 79912-5422
Phone (915) 213-0900

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Rehoboth McKinley Christian Health Care Services Hospital, Gallup, NM, CCN 321313

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1139018TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asad Omar MD PA CurrentSince Dec 1, 2023 Accepting new patients
Mobilemed, PLLC CurrentSince Sep 10, 2024 Accepting new patients
Revive Global PLLC CurrentSince Jan 1, 2025 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Elite Primary Care, LLC Current Accepting new patients
El Paso Kidney Specialists PA CurrentSince Oct 10, 2025 Accepting new patients
Fahad Omar MD PA CurrentSince Jul 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of New Mexico-TCG LLC CurrentSince Jan 18, 2026 Accepting new patients

Locations

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

4441 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 521-6400

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

5539 N Mesa St
El Paso, TX 79912

1201 E Schuster Ave
Ste 1A
El Paso, TX 79902
Phone (915) 229-6448

1601 Brown St
El Paso, TX 79902
Phone (915) 533-1789

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900

11989 Pellicano Dr
Ste C
El Paso, TX 79936
Phone (915) 857-0700

4849 N Mesa St
Ste 201
El Paso, TX 79912

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17767/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 6

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1164296018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N ZARAGOZA RD STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N ZARAGOZA RD STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368903",
            "telephone_number": "915-213-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLADO",
        "first_name": "ISAAC",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1139018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.