Jorge Luis Carmona Rodriguez, M.D.
Individual provider Active NPI Surgery Physician · El Paso, TX
NPI 1295025765 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1295025765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- T5532 (TX)
- Practice address
- 1700 Murchison Dr
El Paso, TX 79902-2931 - Phone
- (915) 533-7465
- Fax
- (915) 534-1185
- NPI assigned
- Apr 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Puerto Rico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHS Physicians Network, Inc
Practice addresses (Care Compare)
1700 Murchison Dr
El Paso, TX 79902-2931
Phone (915) 533-7465
Hospital & facility affiliations
- Sierra Medical Center
- The Hospitals of Providence Transmountain Campus
- The Hospitals of Providence - East Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819001155 | TX | Practitioner - General Surgery | 5890097109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32740 | OK | MD | Family Medicine Physician |
| 63064 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current |
Accepting new patients | |
| BHS Physicians Network, Inc | Multi-Specialty | Current |
Accepting new patients |
| BHS Specialty Network Inc | Multi-Specialty | Past | Accepting new patients |
Locations
1755 Curie Dr
Ste C
El Paso, TX 79902
Phone (915) 577-7951
1700 Murchison Dr
El Paso, TX 79902
Phone (915) 534-1124
3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000
11450 Gateway Blvd N
Ste 1200
El Paso, TX 79934
Phone (915) 205-3440
11450 Gateway Blvd N
Ste 1100
El Paso, TX 79934
Phone (915) 205-3440
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
Interoperability endpoints
- jorge.carmona.rodriguez.1@1438.direct.athenahealth.com
- jcarmonarodriguez954183@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32740 | OK | |
| Surgery Physician |
208600000X | 32740 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 63064 | NY | |
| Surgery Physician | 208600000X | T5532 | TX | Yes |
Addresses
Primary practice location
1700 Murchison Dr
El Paso, TX 79902-2931
Mailing address
1700 Murchison Dr
El Paso, TX 79902-2931
Phone (915) 533-7465
Other practice location 1
731 12th Ave NW Ste 100
Ardmore, OK 73401-5762
Phone (580) 223-3216
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.