Individual provider Active NPI

Harold P. Radcliff

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1407719982
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1213321 Issued in TX
Practice address
106 Mesa Park Dr Ste 200
El Paso, TX 79912-6122
Phone
(915) 300-3484
Fax
(866) 531-7508
NPI assigned
Dec 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1213321 TX Primary

Addresses

Primary practice location

106 Mesa Park Dr Ste 200
El Paso, TX 79912-6122

Mailing address

106 Mesa Park Dr Ste 200
El Paso, TX 79912-6122
Phone (915) 300-3484

Other practice location 1

7888 Gateway Blvd E Fl 2
El Paso, TX 79915-1815
Phone (915) 300-3484

Other practice location 2

8030 N Loop Dr
El Paso, TX 79915-3226
Phone (915) 300-3484

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113001374 TX Practitioner - Nurse Practitioner 1557855947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pablo Casares MD PAGroup PAC ID 0547594962, 9 clinicians

Practice addresses (Care Compare)

106 Mesa Park Dr
Suite 200
El Paso, TX 79912-6122
Phone (915) 300-3484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1213321TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo Casares MD PA CurrentSince Jan 5, 2026 Accepting new patients

Locations

8030 N Loop Dr
El Paso, TX 79915
Phone (915) 300-3484

106 Mesa Park Dr
Ste 200
El Paso, TX 79912
Phone (915) 300-3484

7888 Gateway Blvd E
Fl 2
El Paso, TX 79915
Phone (915) 300-3484

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDFDD

Organizations & group practices 1

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": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1407719982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MESA PARK DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126122",
            "telephone_number": "915-300-3484",
            "fax_number": "866-531-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MESA PARK DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126122",
            "telephone_number": "915-300-3484",
            "fax_number": "866-531-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7888 Gateway Blvd E Fl 2",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799151815",
            "country_code": "US",
            "telephone_number": "915-300-3484",
            "fax_number": "866-531-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8030 N Loop Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799153226",
            "country_code": "US",
            "telephone_number": "915-300-3484",
            "fax_number": "866-531-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADCLIFF",
        "first_name": "HAROLD",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1213321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.