Individual provider Active NPI

Jorge N Avila, M.D.

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1255538187
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q7008 Issued in TX
Practice address
125 W Hague Rd Ste 250
El Paso, TX 79902-5814
Phone
(915) 219-4100
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME110238 FL
Psychiatry Physician 2084P0800X Q7008 TX Primary

Addresses

Primary practice location

125 W Hague Rd Ste 250
El Paso, TX 79902-5814

Mailing address

1500 Bellview CT
El Paso, TX 79912-5919
Phone (915) 219-4100

Other practice location 1

1900 Denver Ave
El Paso, TX 79902-3008
Phone (915) 544-4000

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
I20160727000289 TX Practitioner - PsychiatryPractitioner - Addiction Medicine 6800038407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Denver Ave
El Paso, TX 79902-3008
Phone (915) 544-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Uribe MD PA Psychiatry CurrentSince Aug 2, 2020 Accepting new patients
Leal Behavioral Health LLC CurrentSince Apr 1, 2022 Accepting new patients
Jorge Natividad Avila Jr MD PA Psychiatry CurrentSince Sep 12, 2017 Accepting new patients
University Behavioral Health of El Paso, LLC Past Accepting new patients

Locations

125 W Hague Rd
Ste 250
El Paso, TX 79902
Phone (915) 219-4100

1250 E Cliff Dr
Ste 5D
El Paso, TX 79902
Phone (915) 219-4100

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

4849 N Mesa St
Ste 201
El Paso, TX 79912

9440 Viscount Blvd
Ste 100
El Paso, TX 79925
Phone (915) 249-6639

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1255538187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BELLVIEW CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-219-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD STE 250",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-219-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Denver Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023008",
            "country_code": "US",
            "telephone_number": "915-544-4000",
            "fax_number": "915-544-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "JORGE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME110238",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q7008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.