Individual provider Active NPI

Justin S. Mitchell, D.O.

  • Orthopaedic Hand Surgery Physician
  • El Paso, TX
National Provider Identifier
1174720668
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
P8276 Issued in TX
Practice address
12770 Edgemere Blvd Ste F
El Paso, TX 79938-4569
Phone
(915) 249-4000
Fax
(915) 206-5949
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X P8276 TX Primary

Addresses

Primary practice location

12770 Edgemere Blvd Ste F
El Paso, TX 79938-4569

Mailing address

12770 Edgemere Blvd. #F
El Paso, TX 79938
Phone (915) 249-4000

Other practice location 1

5005 N. Piedras Street
El Paso, TX 79938-5001
Phone (915) 742-1832

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
I20160324001966 TX Practitioner - Orthopedic Surgery 5294864385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Precision Hand Surgery PAGroup PAC ID 8921376245, 2 clinicians

Practice addresses (Care Compare)

12770 Edgemere Blvd
Suite F
El Paso, TX 79938-4569
Phone (915) 249-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)23
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8276TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho El Paso CurrentSince Jun 1, 2017 Accepting new patients

Locations

12770 Edgemere Blvd
Ste F
El Paso, TX 79938
Phone (915) 249-4000

5551 N Mesa St
Ste C
El Paso, TX 79912
Phone (915) 249-4000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1174720668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 EDGEMERE BLVD. #F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "915-249-4000",
            "fax_number": "915-206-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 EDGEMERE BLVD STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384569",
            "telephone_number": "915-249-4000",
            "fax_number": "915-206-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 N. Piedras Street",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799385001",
            "country_code": "US",
            "telephone_number": "915-742-1832",
            "fax_number": "915-742-1931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JUSTIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "P8276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.