Active NPI
Carlo Majid Hatem, MD
- Critical Care Medicine (Internal Medicine) Physician
- El Paso, TX
National Provider Identifier
1295814705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- N3075
- Practice address
- 4305 N Mesa St
Ste a
El Paso, TX 79902-1105 - Phone
- (915) 532-2477
- Fax
- (915) 532-2470
- NPI assigned
- Nov 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | N3075 | TX | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | N3075 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | N3075 | TX | Primary |
Addresses
Primary practice location
4305 N Mesa St
Ste a
El Paso, TX 79902-1105
Mailing address
4305 N Mesa St
Ste a
El Paso, TX 79902-1105
Phone (915) 532-2477
Other practice location 1
9999 Kenworthy St Ste B
El Paso, TX 79924-4413
Phone (915) 775-6820
Other practice location 2
1865 N Lee Trevino Dr
El Paso, TX 79936-4111
Phone (915) 590-1994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205195501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090713000081 | TX | Practitioner - Critical Care (Intensivists) | 0840274585 | Reassigns benefits to 1 organization |
| I20180531001998 | NM | Practitioner - Critical Care (Intensivists) | 0840274585 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2465 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 339-1080
4305 N Mesa St
Suite a
El Paso, TX 79902-1124
Phone (915) 532-2477
Hospital & facility affiliations
- Memorial Medical Center
- Sierra Medical Center
- The Hospitals of Providence - Memorial Campus
- The Hospitals of Providence - East Campus
- The Hospitals of Providence Transmountain Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.68 of 100
- Quality
- 50.09
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Pulmonary Association | Critical Care Medicine | Current | Accepting new patients |
| El Paso Pulmonary Association | Critical Care Medicine | Current | Accepting new patients |
| PHC-Las Cruces Inc | Past | Accepting new patients | |
| Medical Specialty Associates, Inc. | Pulmonary Disease | Past | Accepting new patients |
| Colquitt Regional Medical Center | Past | Accepting new patients |
Locations
2465 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 339-1080
4305 N Mesa St
Ste B
El Paso, TX 79902
Phone 91577973781024
9999 Kenworthy St
Ste B
El Paso, TX 79924
Phone (915) 542-2352
4305 N Mesa St
Ste A
El Paso, TX 79902
Phone (915) 532-2477
1865 N Lee Trevino Dr
Ste A
El Paso, TX 79936
1865 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-1994
Interoperability endpoints
- carlo.hatem@eppa.eclinicaldirectplus.com
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.
-
- Pulmonary Disease Physician
- Moultrie, GA
- NPI 1699974212
Pulmonary Disease
-
- Critical Care Medicine (Internal Medicine) Physician
- Las Cruces, NM
- NPI 1871082107
Critical Care Medicine
-
- Specialty Pharmacy
- Moultrie, GA
- NPI 1720820665
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
Hospital & facility affiliations 6
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": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1295814705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 N MESA ST",
"address_2": "STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021105",
"telephone_number": "915-532-2477",
"fax_number": "915-532-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 N MESA ST",
"address_2": "STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021105",
"telephone_number": "915-532-2477",
"fax_number": "915-532-2470"
}
],
"practiceLocations": [
{
"address_1": "9999 Kenworthy St Ste B",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799244413",
"country_code": "US",
"telephone_number": "915-775-6820",
"fax_number": "915-757-1875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1865 N Lee Trevino Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799364111",
"country_code": "US",
"telephone_number": "915-590-1994",
"fax_number": "915-590-3031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATEM",
"first_name": "CARLO",
"middle_name": "MAJID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "N3075",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TX",
"license": "N3075",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "N3075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205195501",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.