Individual provider Active NPI

Patricio Augusto Pazmino, PHD, MD

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1336131325
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G6589 Issued in TX
Practice address
1701 N Mesa St
Ste 101
El Paso, TX 79902-3503
Phone
(915) 534-7755
Fax
(915) 534-7788
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G6589 TX
Nephrology Physician 207RN0300X G6589 TX Primary

Addresses

Primary practice location

1701 N Mesa St
Ste 101
El Paso, TX 79902-3503

Mailing address

1701 N Mesa St
Ste 101
El Paso, TX 79902-3503
Phone (915) 534-7755

Other identifiers 1

IdentifierTypeStateIssuer
0984197-01MedicaidTX

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
I20100301000205 TX Practitioner - Internal MedicinePractitioner - Nephrology 3971413022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 N Mesa
St 101
El Paso, TX 79902-3503
Phone (915) 534-7755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6589TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricio a. Pazmino PHD, MD, PA Internal Medicine CurrentSince Aug 12, 2011 Accepting new patients
El Paso Health LLC PastSince Sep 29, 2017 Accepting new patients

Locations

1701 N Mesa St
Ste 101
El Paso, TX 79902
Phone (915) 534-7755

1701 N Mesa St
#101
El Paso, TX 79902
Phone (915) 534-7755

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.

Hospital & facility affiliations 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1336131325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N MESA ST",
            "address_2": "STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023503",
            "telephone_number": "915-534-7755",
            "fax_number": "915-534-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MESA ST",
            "address_2": "STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023503",
            "telephone_number": "915-534-7755",
            "fax_number": "915-534-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZMINO",
        "first_name": "PATRICIO",
        "middle_name": "AUGUSTO",
        "credential": "PHD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6589",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G6589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984197-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.