Active NPI
Robert Arnold Moreno, MD
- Internal Medicine Physician
- El Paso, TX
National Provider Identifier
1174518823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H7470
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126381603 | 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 |
|---|---|---|---|---|
| I20091205000115 | TX | Practitioner - Internal Medicine | 3870690829 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7470 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
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Internal Medicine
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Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.