Individual provider Active NPI

Jorge Luis Carmona Rodriguez, M.D.

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1295025765
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T5532 Issued in TX
Practice address
1700 Murchison Dr
El Paso, TX 79902-2931
Phone
(915) 533-7465
Fax
(915) 534-1185
NPI assigned
Apr 18, 2011
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32740 OK
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 32740 OK
Student in an Organized Health Care Education/Training Program 390200000X 63064 NY
Surgery Physician 208600000X T5532 TX Primary

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

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
I20220819001155 TX Practitioner - General Surgery 5890097109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1700 Murchison Dr
El Paso, TX 79902-2931
Phone (915) 533-7465

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63064NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jul 1, 2022 Accepting new patients
BHS Specialty Network Inc Multi-Specialty Past Accepting new patients

Locations

11450 Gateway Blvd N
Ste 1100
El Paso, TX 79934
Phone (915) 205-3440

11450 Gateway Blvd N
Ste 1200
El Paso, TX 79934
Phone (915) 205-3440

1700 Murchison Dr
El Paso, TX 79902
Phone (915) 534-1216

1755 Curie Dr
Ste C
El Paso, TX 79902
Phone (915) 577-7951

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

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

  • Direct secure messaging: jcarmonarodriguez954183@directc.mercy.net
  • Direct secure messaging: jorge.carmona.rodriguez.1@1438.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1295025765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022931",
            "telephone_number": "915-533-7465",
            "fax_number": "915-534-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MURCHISON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022931",
            "telephone_number": "915-533-7465",
            "fax_number": "915-534-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 12th Ave NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734015762",
            "country_code": "US",
            "telephone_number": "580-223-3216",
            "fax_number": "580-223-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32740",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "32740",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "63064",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T5532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.