Individual provider Active NPI

Jessie Daniel Juan Coleman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
National Provider Identifier
1174806277
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
Q1377 Issued in TX
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
346729204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141215000994 TX Practitioner - Anesthesiology 0042532418 Reassigns benefits to 3 organizations
I20170829003185 NM Practitioner - AnesthesiologyPractitioner - Pain Management 0042532418 Reassigns benefits to 1 organization

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, PAGroup PAC ID 9032269881, shared by 2 NPIs, 22 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
10844TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Epmed, PA Pain Medicine CurrentSince Aug 9, 2017 Accepting new patients
Epmed, PA CurrentSince Jul 7, 2017 Accepting new patients
Epmed, PA CurrentSince Jul 7, 2017 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Sep 29, 2014 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.