Individual provider Active NPI

Jose Leonardo Loaiza, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1407979255
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0220 Issued in TX
Practice address
10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone
(915) 595-9000
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N0220 TX
Family Medicine Physician 207Q00000X MD2007-0124 NM
Family Medicine Physician 207Q00000X N0220 TX Primary

Addresses

Primary practice location

10301 Gateway Blvd W
El Paso, TX 79925-7701

Mailing address

7100 Westwind Dr Ste 120
El Paso, TX 79912-1757
Phone (915) 249-4676

Other practice location 1

7100 Westwind Dr Ste 120
El Paso, TX 79912-1757
Phone (915) 249-4676

Other identifiers 3

IdentifierTypeStateIssuer
P00997741OtherTXRAILROAD
70136360MedicaidNM
198530103MedicaidTX

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
I20071203000507 TX Practitioner - Family Practice 2466541123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ana Maria Arroyave, MD, PLLCGroup PAC ID 0648559211, 2 clinicians

Practice addresses (Care Compare)

7100 Westwind Dr
El Paso, TX 79912-1757
Phone (915) 249-4676

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2007-0124NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Apr 20, 2015 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Ana Maria Arroyave, MD, PLLC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Professional Radiology PLLC Past Accepting new patients

Locations

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

7100 Westwind Dr
Ste 120
El Paso, TX 79912
Phone (915) 249-4676

1535 N Resler Dr
El Paso, TX 79912
Phone (915) 231-1600

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Interoperability endpoints

  • Direct secure messaging: jose.loaiza.1@14596.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1407979255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WESTWIND DR STE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121757",
            "telephone_number": "915-249-4676",
            "fax_number": "915-255-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Westwind Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799121757",
            "country_code": "US",
            "telephone_number": "915-249-4676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOAIZA",
        "first_name": "JOSE",
        "middle_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N0220",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00997741",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70136360",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198530103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.