Individual provider Active NPI

Robert Arnold Moreno, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1174518823
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H7470 Issued in TX
Practice address
4532 N Mesa St Ste 2a
El Paso, TX 79912-6287
Phone
(915) 544-0326
Fax
(915) 544-2897
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H7470 TX Primary

Addresses

Primary practice location

4532 N Mesa St Ste 2a
El Paso, TX 79912-6287

Mailing address

PO Box 3157
El Paso, TX 79923-3157
Phone (915) 577-0051

Other identifiers 1

IdentifierTypeStateIssuer
126381603MedicaidTX

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
I20091205000115 TX Practitioner - Internal Medicine 3870690829

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7470TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Integrated Physicians Group Past Accepting new patients
El Paso Integrated Physicians Group Internal Medicine Past Accepting new patients
El Paso Integrated Physicians Group Past Accepting new patients
El Paso Integrated Physicians Group Internal Medicine Past Accepting new patients

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1174518823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799233157",
            "telephone_number": "915-577-0051",
            "fax_number": "915-577-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126287",
            "telephone_number": "915-544-0326",
            "fax_number": "915-544-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ROBERT",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H7470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126381603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.