Individual provider Active NPI

Jorge Juan Arango, MD

  • Otolaryngology Physician
  • El Paso, TX
National Provider Identifier
1326081795
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J0905 Issued in TX
Practice address
5959 Gateway Blvd W Ste 104
El Paso, TX 79925-3315
Phone
(915) 779-5866
Fax
(915) 771-6558
NPI assigned
Jun 14, 2006
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X J0905 TX Primary

Addresses

Primary practice location

5959 Gateway Blvd W Ste 104
El Paso, TX 79925-3315

Mailing address

5959 Gateway Blvd W Ste 104
El Paso, TX 79925-3315
Phone (915) 779-1716

Other identifiers 1

IdentifierTypeStateIssuer
118689202MedicaidTX

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
I20110323000798 TX Practitioner - Otolaryngology 9436061207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5959 Gateway Blvd W
Suite 104
El Paso, TX 79925-3315
Phone (915) 351-5023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0905TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CGN Epent Otolaryngology CurrentSince Oct 11, 2020 Accepting new patients
Jorge J Arango MD PLLC Otolaryngology CurrentSince Oct 1, 2019 Accepting new patients
East El Paso Anesthesia Group PA PastSince Oct 1, 2019 Accepting new patients

Locations

201 Bartlett Dr
#A
El Paso, TX 79912
Phone (915) 779-5866

5959 Gateway Blvd W
Ste 104
El Paso, TX 79925
Phone (915) 351-5023

5959 Gateway Blvd W
Ste 160
El Paso, TX 79925
Phone (915) 779-5866

Interoperability endpoints

  • Direct secure messaging: jorgearango@epentapa.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1326081795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-5866",
            "fax_number": "915-771-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANGO",
        "first_name": "JORGE",
        "middle_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J0905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118689202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.