Individual provider Active NPI

Efren De la Rosa, DPM

  • Podiatrist
  • El Paso, TX
National Provider Identifier
1295846731
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1174 Issued in TX
Practice address
114 W Castellano Dr
El Paso, TX 79912-6119
Phone
(915) 532-3721
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1174 TX Primary

Addresses

Primary practice location

114 W Castellano Dr
El Paso, TX 79912-6119

Mailing address

114 W Castellano Dr
El Paso, TX 79912-6119
Phone (915) 532-3721

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000563 TX Practitioner - Podiatry 7214031822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Efren Buff de la Rosa DPM PAGroup PAC ID 0042520306, 6 clinicians

Practice addresses (Care Compare)

114 W Castellano Dr
El Paso, TX 79912-6119
Phone (915) 532-3721

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue362
Removal or shaving of skin growth109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1174TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Efren Buff de la Rosa, DPM, PA CurrentSince Jun 11, 2015 Accepting new patients
The Foot Institute, P.a. Podiatrist PastSince Feb 6, 2006 Accepting new patients

Locations

1387 George Dieter Dr
Ste 102
El Paso, TX 79936
Phone (915) 532-3721

114 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-3721

6955 N Mesa St
Ste 301
El Paso, TX 79912
Phone (915) 581-1133

8815 Dyer St
Ste 348
El Paso, TX 79904
Phone (915) 532-3721

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1295846731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-532-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-532-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "EFREN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.