Roberta Lee Fennig, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

J2873 Issued in TX

Practice address

6955 N Mesa St
Suite 113
El Paso, TX 79912-4442

Phone

(915) 545-1509

Fax

(915) 544-5357

NPI assigned

Aug 5, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Psychiatry

Education

Midwestern University, Chicago College of Osteopathic Med, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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.

• Roberta L. Fennig DO PC

  • Clinic/Center
  • Santa Teresa, NM
  • NPI 1912259441
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376552612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 N MESA ST",
            "address_2": "SUITE 113",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124442",
            "telephone_number": "915-545-1509",
            "fax_number": "915-544-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 N MESA ST",
            "address_2": "SUITE 113",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124442",
            "telephone_number": "915-545-1509",
            "fax_number": "915-544-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNIG",
        "first_name": "ROBERTA",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "J2873",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J2873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E0694",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Felix
• Pablo Felix
• Avery Fellman
• Femi David Iwaloye, MD, PA
• Mia Louise Fenner, RDH
• Hubert Henry Fenton, M.D.
• Carla Fenves
• Amanda Gail Ferguson, OTR/L
• Mikela Ferguson
• Marie Lulette Pinto Fermil, OD

• Neuromusculoskeletal Medicine & OMM Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.