NPIMap

Individual provider Active NPI

Jaime Holberton Square, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1205046752
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M7650 Issued in TX
Practice address
11880 Vista del Sol Dr Ste B
El Paso, TX 79936-6128
Phone
(915) 777-3151
Fax
(915) 855-6111
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M7650 TX Primary

Addresses

Primary practice location

11880 Vista del Sol Dr Ste B
El Paso, TX 79936-6128

Mailing address

PO Box 961783
El Paso, TX 79996-1783
Phone (915) 777-3151

Other identifiers 1

IdentifierTypeStateIssuer
193400204MedicaidTX

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
I20071218000556 TX Practitioner - Internal Medicine 4587754270 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Primary Healthcare Physicians, P.a. 5 clinicians
Workers Pain Management Center, PLLC 2 clinicians
Sunrise Med Clinic 2 clinicians

Practice addresses (Care Compare)

11880 Vista del Sol Dr
El Paso, TX 79936-6128
Phone (915) 855-7900

1397 George Dieter Dr
Suite E
El Paso, TX 79936-7681
Phone (915) 200-3825

Hospital & facility affiliations

  • Alto Mar New Mexico LLC Home health agency, Santa Teresa, NM, CCN 327192
  • Tender Care Home Health Home health agency, El Paso, TX, CCN 679522
  • Hospice of El Paso Inc Hospice, El Paso, TX, CCN 451505
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • El Paso Rehabilitation Hospital Inpatient rehabilitation facility, El Paso, TX, CCN 673083
  • Avir at Patriot Nursing home, El Paso, TX, CCN 676468
  • Avir at El Paso Nursing home, El Paso, TX, CCN 676431
  • Avir at Tierra Este Nursing home, El Paso, TX, CCN 745038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aliviane, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Sunrise Med Clinic CurrentSince Apr 17, 2023 Accepting new patients
Workers Pain Management Center, PLLC Internal Medicine CurrentSince May 9, 2011 Accepting new patients
Sunrise Infusion Pharmacy CurrentSince Apr 17, 2023 Accepting new patients
El Paso Primary Healthcare Physicians, P.a. Internal Medicine CurrentSince Jul 2, 2012 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
El Paso Oncology and Internal Medicine, P.a Internal Medicine PastSince Oct 1, 1991 Accepting new patients
El Paso Hospitalist Group PLLC Internal Medicine Past Accepting new patients
East El Paso Healthcare Operations LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District PastSince Mar 1, 2025 Accepting new patients
Asqk1, Inc Internal Medicine Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

11890 Vista del Sol Dr
Ste A-117
El Paso, TX 79936
Phone (915) 777-3151

11880 Vista del Sol Dr
El Paso, TX 79936
Phone (915) 855-7900

1740 Curie Dr
El Paso, TX 79902
Phone (915) 351-9044

11880 Vista del Sol Dr
#B
El Paso, TX 79936
Phone (915) 855-7900

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

1626 Medical Center Dr
Ste 400
El Paso, TX 79902
Phone (915) 546-9200

1397 George Dieter Dr
Ste E
El Paso, TX 79936
Phone (915) 200-3825

Interoperability endpoints

  • Direct secure messaging: jaime.square@wpmcp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avir at El PasoEl Paso, TX, CCN 676431 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 12

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1205046752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961783",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799961783",
            "telephone_number": "915-777-3151",
            "fax_number": "915-855-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-777-3151",
            "fax_number": "915-855-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUARE",
        "first_name": "JAIME",
        "middle_name": "HOLBERTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-09-14",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193400204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.