Individual provider Active NPI

Julio C. Novoa, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1164413803
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K8386 Issued in TX
Practice address
10781 Pebble Hills Blvd Ste a
El Paso, TX 79935-2038
Phone
(915) 595-9944
Fax
(915) 595-9944
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K8386 TX Primary

Addresses

Primary practice location

10781 Pebble Hills Blvd Ste a
El Paso, TX 79935-2038

Mailing address

10781 Pebble Hills Blvd Ste a
El Paso, TX 79935-2038
Phone (915) 595-9944

Other identifiers 4

IdentifierTypeStateIssuer
810590634OtherTXTAX ID
0039JYOtherTXBC/BS PROVIDER NUMBER
91252075OtherTXNEW MEXICO MEDICAID #
040148103MedicaidTX

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
I20050618000151 TX Practitioner - Obstetrics/Gynecology 9537103643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10781 Pebble Hills Blvd
Suite a
El Paso, TX 79935-2038
Phone (915) 595-9944

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000000TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Novoa Medical Services, PA Obstetrics & Gynecology CurrentSince Apr 1, 2013 Accepting new patients
Novoa Medical Services, PA Obstetrics & Gynecology CurrentSince Apr 1, 2013 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Aug 10, 2022 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

5140 Montana Ave
El Paso, TX 79903
Phone (915) 544-8844

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

310 N Mesa St
Ste 520
El Paso, TX 79901

10781 Pebble Hills Blvd
Ste A
El Paso, TX 79935
Phone (915) 595-9944

Organizations & group practices 4

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1164413803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10781 PEBBLE HILLS BLVD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352038",
            "telephone_number": "915-595-9944",
            "fax_number": "915-595-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10781 PEBBLE HILLS BLVD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352038",
            "telephone_number": "915-595-9944",
            "fax_number": "915-595-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOA",
        "first_name": "JULIO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K8386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "810590634",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "0039JY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAID #",
            "identifier": "91252075",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040148103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.