Active NPI
Yuri Javier Caballero, MD
- Internal Medicine Physician
- El Paso, TX
National Provider Identifier
1174517577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8938
- Practice address
- 106 Mesa Park Dr Ste 200
El Paso, TX 79912-6122 - Phone
- (915) 300-3484
- Fax
- (866) 531-7508
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8938 | TX | Primary |
Addresses
Primary practice location
106 Mesa Park Dr Ste 200
El Paso, TX 79912-6122
Mailing address
106 Mesa Park Dr Ste 200
El Paso, TX 79912-6122
Phone (915) 300-3484
Other practice location 1
7888 Gateway Blvd E Fl 2
El Paso, TX 79915-1815
Phone (915) 300-3484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100194302 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041026000876 | TX | Practitioner - Internal Medicine | 1456312008 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pablo Casares MD PA
Practice addresses (Care Compare)
106 Mesa Park Dr
Suite 200
El Paso, TX 79912-6122
Phone (915) 300-3484
Hospital & facility affiliations
- Centerwell Home Health
- Sierra Medical Center
- The Hospitals of Providence - Memorial Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8938 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pablo Casares MD PA | Internal Medicine | Current | Accepting new patients |
| El Paso Healthcare System LTD | Past | Accepting new patients |
Locations
7888 Gateway Blvd E
Fl 2
El Paso, TX 79915
Phone (915) 300-3484
106 Mesa Park Dr
Ste 200
El Paso, TX 79912
Phone (915) 300-3484
7888 Gateway Blvd E
Ste 2
El Paso, TX 79915
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFDFDD
- yuri.caballero.1@16730.direct.athenahealth.com
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.
-
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1689629594
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- El Paso, TX
- NPI 1265483416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1174517577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MESA PARK DR STE 200",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126122",
"telephone_number": "915-300-3484",
"fax_number": "866-531-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MESA PARK DR STE 200",
"city": "EL PASO",
"state": "TX",
"postal_code": "799126122",
"telephone_number": "915-300-3484",
"fax_number": "866-531-7508"
}
],
"practiceLocations": [
{
"address_1": "7888 Gateway Blvd E Fl 2",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799151815",
"country_code": "US",
"telephone_number": "915-300-3484",
"fax_number": "866-531-7508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABALLERO",
"first_name": "YURI",
"middle_name": "JAVIER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100194302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.