Individual provider Active NPI

Guillermo Parra, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1346231941
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8332 Issued in TX
Practice address
3017 Trawood Dr
El Paso, TX 79936-4330
Phone
(915) 855-2005
Fax
(915) 855-8400
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8332 TX Primary

Addresses

Primary practice location

3017 Trawood Dr
El Paso, TX 79936-4330

Mailing address

3017 Trawood Dr
El Paso, TX 79936-4330
Phone (915) 855-2005

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
I20040322000668 TX Practitioner - Family Practice 8123919008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

3017 Trawood Dr
El Paso, TX 79936-4330
Phone (915) 855-2005

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8332TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guillermo Parra M.D.P.a. CurrentSince Aug 14, 2003 Accepting new patients
El Paso County Hospital District PastSince Jan 14, 2024 Accepting new patients
Re Medical Associates, P.a. Past Accepting new patients

Locations

3017 Trawood Dr
El Paso, TX 79936
Phone (915) 855-2005

10880 Edgemere Blvd
El Paso, TX 79935
Phone (915) 590-7800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346231941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364330",
            "telephone_number": "915-855-2005",
            "fax_number": "915-855-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364330",
            "telephone_number": "915-855-2005",
            "fax_number": "915-855-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.