Active NPI
Jessie Daniel Juan Coleman, M.D.
- Pain Medicine (Anesthesiology) Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- Q1377
- Practice address
- 3215 Gateway Blvd W
El Paso, TX 79903-4225 - Phone
- (915) 598-7246
- Fax
- (915) 633-6598
- NPI assigned
- Sep 25, 2011
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 10844 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Q1377 | TX | Primary |
Addresses
Primary practice location
3215 Gateway Blvd W
El Paso, TX 79903-4225
Mailing address
3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246
Other practice location 1
880 S Telshor Blvd Ste 100
Las Cruces, NM 88011-8683
Phone (575) 395-7246
Other practice location 2
7825 N Mesa St
El Paso, TX 79932-1623
Phone (915) 598-7246
Other practice location 3
12200 Paseo Nuevo Dr
El Paso, TX 79928-5796
Phone (915) 598-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346729204 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epmed, PA
Practice addresses (Care Compare)
10470 Vista del Sol Dr
Suite 212
El Paso, TX 79925-7928
Phone (915) 598-7246
12200 Paseo Nuevo Dr
El Paso Pain Center
El Paso, TX 79928-5796
Phone (915) 598-7246
20 S New York Ave
New Mexico Pain Center
Alamogordo, NM 88310-6525
Phone (575) 395-7246
3215 Gateway Blvd W
El Paso, TX 79903-4225
3215 Gateway Blvd W a
El Paso Primary Care Associates
El Paso, TX 79903-4225
Phone (915) 500-6080
3500 Northrise Dr
New Mexico Pain Center
Las Cruces, NM 88011-7274
Phone (575) 395-7246
4545 N Mesa St
El Paso Primary Care Associates
El Paso, TX 79912-6121
Phone (915) 500-6080
7825 N Mesa St
El Paso Pain Center
El Paso, TX 79932-1623
Phone (915) 598-7246
880 S Telshor Blvd
100 Las Cruces Pain Center
Las Cruces, NM 88011-8683
Phone (575) 395-7246
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.06 of 100
- Quality
- 60.32
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10844 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmed, PA | Pain Medicine | Current | Accepting new patients |
| Epmed, PA | Current | Accepting new patients | |
| Epmed, PA | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
Locations
20 S New York Ave
Alamogordo, NM 88310
Phone (575) 395-7246
3600 Coors Blvd NW
Ste 200
Albuquerque, NM 87120
Phone (505) 264-9961
3500 Northrise Dr
Las Cruces, NM 88011
Phone (575) 395-7246
880 S Telshor Blvd
Ste 100
Las Cruces, NM 88011
Phone (575) 395-7246
1000 Commercial Dr SE
Rio Rancho, NM 87124
Phone (505) 264-9961
2730 N Wilshire Blvd
Roswell, NM 88201
Phone (575) 395-7246
421 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 983-9878
11380 Gateway Blvd N
Ste 101
El Paso, TX 79934
Phone (915) 317-1145
12200 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 342-3399
3215 Gateway Blvd W
El Paso, TX 79903
Phone (915) 598-7246
3215 Gateway Blvd W
Ste 210
El Paso, TX 79903
Phone (915) 263-4850
7825 N Mesa St
El Paso, TX 79932
Phone (915) 598-7246
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
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.
-
dba El Paso Pain Center
- Pain Medicine (Anesthesiology) Physician
- El Paso, TX
- NPI 1285861773
NM
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
-
- Ambulatory Surgical Clinic/Center
- El Paso, TX
- NPI 1124587548
-
dba New Mexico Pain Center of Roswell
- Durable Medical Equipment & Medical Supplies
- Roswell, NM
- NPI 1437790318
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174806277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 GATEWAY BLVD W",
"city": "EL PASO",
"state": "TX",
"postal_code": "799034225",
"telephone_number": "915-598-7246",
"fax_number": "915-633-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 GATEWAY BLVD W",
"city": "EL PASO",
"state": "TX",
"postal_code": "799034225",
"telephone_number": "915-598-7246",
"fax_number": "915-633-6598"
}
],
"practiceLocations": [
{
"address_1": "880 S Telshor Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880118683",
"country_code": "US",
"telephone_number": "575-395-7246",
"fax_number": "575-652-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7825 N Mesa St",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799321623",
"country_code": "US",
"telephone_number": "915-598-7246",
"fax_number": "915-633-6598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12200 Paseo Nuevo Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799285796",
"country_code": "US",
"telephone_number": "915-598-7246",
"fax_number": "915-633-6598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "JESSIE",
"middle_name": "DANIEL JUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-25",
"last_updated": "2022-07-21",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "10844",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "Q1377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346729204",
"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 Jul 21, 2022; 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.