NPIMap

Individual provider Active NPI

Max A. Peralta, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1184694978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1165 Issued in TX
Practice address
1733 Curie Dr
Ste. 105
El Paso, TX 79902-2910
Phone
(915) 533-7400
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1165 TX Primary

Addresses

Primary practice location

1733 Curie Dr
Ste. 105
El Paso, TX 79902-2910

Mailing address

1733 Curie Dr
Ste. 105
El Paso, TX 79902-2910
Phone (915) 533-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000650 TX Practitioner - Family Practice 8820120017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

1733 Curie Dr
Suite 105
El Paso, TX 79902-2909
Phone (915) 533-7400

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1165TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Family Physicians, P.a. Family Medicine CurrentSince Sep 5, 2001 Accepting new patients

Locations

1733 Curie Dr
Ste 105
El Paso, TX 79902
Phone (915) 533-7400

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 8

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184694978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "STE. 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-533-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "STE. 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-533-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "MAX",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.