Individual provider Active NPI

Robert Michael Kaufman, RNFNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1174574537
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
522056 Issued in TX
Practice address
5340 El Paso Dr Ste a
Ste a
El Paso, TX 79905-2838
Phone
(915) 778-9811
Fax
(915) 778-1521
NPI assigned
May 12, 2006
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 522056 TX Primary

Addresses

Primary practice location

5340 El Paso Dr Ste a
Ste a
El Paso, TX 79905-2838

Mailing address

5340 El Paso Dr Ste a
El Paso, TX 79905-2838
Phone (915) 778-9811

Other identifiers 2

IdentifierTypeStateIssuer
153702901MedicaidTX
56475063MedicaidNM

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000809 TX Practitioner - Nurse Practitioner 9931271731 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moazam PA CurrentSince Jul 1, 2025 Accepting new patients
Aliviane, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Paisano Medical Center, LP CurrentSince Aug 28, 2002 Accepting new patients
Moazam PA CurrentSince Jul 1, 2025 Accepting new patients
El Paso Oncology and Internal Medicine, P.a PastSince Oct 1, 1991 Accepting new patients

Locations

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3329 Montana Ave
El Paso, TX 79903
Phone (915) 562-7101

3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400

5340 El Paso Dr
Ste A
El Paso, TX 79905
Phone (915) 637-2312

14470 Horizon Blvd
Ste J
Horizon City, TX 79928
Phone (915) 777-9075

7106 Spencer Hwy
Pasadena, TX 77505
Phone (281) 542-9400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1174574537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 EL PASO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052838",
            "telephone_number": "915-778-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 EL PASO DR STE A",
            "address_2": "STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052838",
            "telephone_number": "915-778-9811",
            "fax_number": "915-778-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RNFNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "522056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153702901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56475063",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.