Individual provider Active NPI

Mohamed Ataalla, M.D.

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1245545557
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q2728 Issued in TX
Practice address
1390 Northwestern Dr
El Paso, TX 79912-8003
Phone
(915) 503-1959
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q2728 TX Primary

Addresses

Primary practice location

1390 Northwestern Dr
El Paso, TX 79912-8003

Mailing address

1390 Northwestern Dr
El Paso, TX 79912-8003
Phone (915) 503-1959

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
I20190719000969 TX Practitioner - Psychiatry 2365748217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1390 Northwestern Dr
El Paso, TX 79912-8003
Phone (915) 503-1959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2728TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohamed Hamdy, PLLC CurrentSince May 30, 2019 Accepting new patients
El Paso Behavioral Hospital, LLC Past Accepting new patients

Locations

1900 Denver Ave
El Paso, TX 79902
Phone (915) 787-6265

1390 Northwestern Dr
El Paso, TX 79912
Phone (915) 294-2631

4849 N Mesa St
Ste 201
El Paso, TX 79912

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1245545557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 NORTHWESTERN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128003",
            "telephone_number": "915-503-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 NORTHWESTERN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128003",
            "telephone_number": "915-503-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAALLA",
        "first_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.