Individual provider Active NPI

Jason M Chacon, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1295313682
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V2452 Issued in TX
Practice address
1600 Medical Center Dr Ste 214
El Paso, TX 79902-5008
Phone
(915) 217-2163
Fax
(915) 217-2166
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X V2452 TX Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 214
El Paso, TX 79902-5008

Mailing address

1600 Medical Center Dr Ste 214
El Paso, TX 79902-5008
Phone (915) 217-2163

Other practice location 1

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

Other practice location 2

10175 Gateway Blvd West, Suite 100
El Paso, TX 79925-7618
Phone (915) 283-3953

Other practice location 3

1625 Medical Center Dr
El Paso, TX 79902-5005
Phone (915) 747-4000

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
I20250718000707 TX Practitioner - Internal Medicine 6709392608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radu Ciubuc MD PAGroup PAC ID 4183858384, 3 clinicians

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Suite 400
El Paso, TX 79902-5008
Phone (915) 217-2163

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (915) 217-2163

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 217-2163

Hospital & facility affiliations

  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radu Ciubuc MD PA CurrentSince Nov 23, 2025 Accepting new patients
Fahad Omar MD PA CurrentSince Jul 1, 2025 Accepting new patients
Revive Global PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

8001 N Mesa St
Ste E
El Paso, TX 79932
Phone (915) 590-9355

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

125 W Hague Rd
Ste 130
El Paso, TX 79902
Phone (915) 206-2150

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

1600 Medical Center Dr
Ste 214
El Paso, TX 79902
Phone (915) 351-9200

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900

1600 Medical Center Dr
Ste 400
El Paso, TX 79902
Phone (915) 351-1116

5539 N Mesa St
El Paso, TX 79912

Interoperability endpoints

  • Direct secure messaging: jason.chacon@hca8.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1295313682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 214",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-217-2163",
            "fax_number": "915-217-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 214",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-217-2163",
            "fax_number": "915-217-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023320",
            "country_code": "US",
            "telephone_number": "915-577-6011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10175 Gateway Blvd West, Suite 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257618",
            "country_code": "US",
            "telephone_number": "915-283-3953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025005",
            "country_code": "US",
            "telephone_number": "915-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.