El Paso Medical Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EL PASO MEDICAL GROUP PA

Practice address

550 S Mesa Hills Dr Ste C2
El Paso, TX 79912-5765

Phone

(915) 532-6069

Fax

(915) 532-5060

NPI assigned

Feb 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Payne, MDNPI 1487639183

Title

Owner/President

Phone

(915) 532-6069

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

El Paso Medical Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• El Paso Medical Group PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1538465745
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Payne, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1487639183
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1306168133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR STE C2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125765",
            "telephone_number": "915-532-6069",
            "fax_number": "915-532-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR STE C2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125765",
            "telephone_number": "915-532-6069",
            "fax_number": "915-532-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "915-532-6069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB104323",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N1054",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• El Paso Medical Group PA
• El Paso Mental Health, LLC
• El Paso Methadone Maintenance & Detox Treatment Center
• El Paso MPP, LTD.
• El Paso Neurological Institute, PA

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.