Individual provider Active NPI

Monica Ann De la Paz, MD

  • Retina Specialist (Ophthalmology) Physician
  • Midland, TX
National Provider Identifier
1386208692
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
H4274 Issued in TX
Practice address
10100 Loop 40
Midland, TX 79706-2205
Phone
(432) 617-0181
Fax
(432) 563-0656
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X H4274 TX Primary

Addresses

Primary practice location

10100 Loop 40
Midland, TX 79706-2205

Mailing address

PO Box 61880
Midland, TX 79711-1880
Phone (432) 617-0181

Other identifiers 2

IdentifierTypeStateIssuer
H4274OtherTXMEDICAL LICENSE
408812201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190806003731 TX Practitioner - Ophthalmology 6002143500 Reassigns benefits to 1 organization
I20240131004867 CO Practitioner - Ophthalmology 6002143500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard B Culbert MD PAGroup PAC ID 4981685195, 3 clinicians

Practice addresses (Care Compare)

10100 Loop 40
Premier Retina Specialists
Midland, TX 79706-2205
Phone (432) 563-0655

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corneal Consultants of Colorado PC Retina Specialist CurrentSince Mar 1, 2024 Accepting new patients
Corneal Consultants of Colorado PC CurrentSince Mar 1, 2024 Accepting new patients
Richard B Culbert MD PA Retina Specialist CurrentSince Aug 1, 2019 Accepting new patients

Locations

3235 Mill Vista Rd
Highlands Ranch, CO 80129
Phone (303) 730-0404

1501 W Mineral Ave
Ste 100
Littleton, CO 80120
Phone (303) 730-0404

605 N Main St
Fort Stockton, TX 79735
Phone (432) 336-3662

10100 Loop 40
Midland, TX 79706
Phone (432) 563-0655

Organizations & group practices 3

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386208692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61880",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797111880",
            "telephone_number": "432-617-0181",
            "fax_number": "432-563-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LOOP 40",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062205",
            "telephone_number": "432-617-0181",
            "fax_number": "432-563-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PAZ",
        "first_name": "MONICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "H4274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H4274",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408812201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.