Active NPI
Miguel Tarango, MD
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1255325528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G6029
- Practice address
- 501 N Yarbrough Dr
El Paso, TX 79915-3240 - Phone
- (915) 595-1844
- Fax
- (915) 599-1953
- NPI assigned
- Sep 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G6029 | TX | Primary |
Addresses
Primary practice location
501 N Yarbrough Dr
El Paso, TX 79915-3240
Mailing address
8637 Fredericksburg Rd
Suite 360
San Antonio, TX 78240-1219
Phone (210) 617-4029
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0976797 | Medicaid | TX | |
| TXB130415 | Other | TX | WELLMED |
| 83A747 | Other | TX | BLUE CROSS |
| 4211791 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Family Care Clinic | Family Medicine | Current | Accepting new patients |
Locations
501 N Yarbrough Dr
El Paso, TX 79915
Phone (915) 401-8999
Organizations & group practices 1
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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1811049737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1255325528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8637 FREDERICKSBURG RD",
"address_2": "SUITE 360",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401219",
"telephone_number": "210-617-4029",
"fax_number": "210-617-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N YARBROUGH DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799153240",
"telephone_number": "915-595-1844",
"fax_number": "915-599-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANGO",
"first_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G6029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0976797",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED",
"identifier": "TXB130415",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "83A747",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4211791",
"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 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.