Individual provider Active NPI

Diego Peralta Rojas, M.D.

  • Infectious Disease Physician
  • El Paso, TX
National Provider Identifier
1407011067
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
P1679 Issued in TX
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 215-5200
Fax
(915) 215-8640
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X P1679 TX Primary
Internal Medicine Physician 207R00000X P1679 TX
Internal Medicine Physician 207R00000X A121041 CA
Infectious Disease Physician 207RI0200X TRN19083 FL

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

5130 Gateway Blvd E # 51015
El Paso, TX 79905-1608
Phone (915) 215-4480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diego.peralta@ttuhsc.direct-ci.net

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
I20120322000687 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 9739349093 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121041CAMDInternal Medicine Physician
P1679TXMDInternal Medicine Physician
TRN19083FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Feb 1, 2015 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4800 Alberta Ave
Ste 101
El Paso, TX 79905
Phone (915) 215-4478

Interoperability endpoints

  • Direct secure messaging: diego.peralta@direct.myhealthep.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1407011067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA ROJAS",
        "first_name": "DIEGO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P1679",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1679",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A121041",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "TRN19083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diego.peralta@ttuhsc.direct-ci.net",
            "affiliation": "N",
            "address_1": "4801 Alberta Ave",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799052707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.