Individual provider Active NPI

Rolando Rene Longoria, MD

  • Gastroenterology Physician
  • El Paso, TX
National Provider Identifier
1417967282
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F1759 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
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F1759 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 identifiers 1

IdentifierTypeStateIssuer
120110505MedicaidTX

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
I20061206000597 TX Practitioner - Gastroenterology 0446259162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Medical School at San Antonio, 1978
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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo Casares MD PA CurrentSince Jan 16, 2025 Accepting new patients

Locations

7888 Gateway Blvd E
Ste 2
El Paso, TX 79915

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.

Hospital & facility affiliations 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1417967282",
    "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"
        }
    ],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "ROLANDO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120110505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.