Active NPI
Regent Cross Medical Clinic PLLC
- Internal Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N2442
- Legal business name
- REGENT CROSS MEDICAL CLINIC PLLC
- Practice address
- 11620 Pellicano Dr Ste a
El Paso, TX 79936-6250 - Phone
- (915) 996-9363
- Fax
- (915) 613-5496
- NPI assigned
- Oct 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ikedieze Igwe Chukwu, MD
- Title
- Medical Director
- Phone
- (915) 996-9363
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N2442 | TX | Primary |
Addresses
Primary practice location
11620 Pellicano Dr Ste a
El Paso, TX 79936-6250
Mailing address
11620 Pellicano Dr Ste a
El Paso, TX 79936-6250
Phone (915) 996-9363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2103781 | Regent Cross Medical Clinic LLC | Certificate of waiver | Dec 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
1418 George Dieter Dr
Ste 100
El Paso, TX 79936
1418 George Dieter Dr
Fl 2
El Paso, TX 79936
Phone (915) 996-9363
1418 George Dieter Dr
Ste 200
El Paso, TX 79936
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1720285661
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1710710363
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1639702426
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1639720246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1427300078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11620 PELLICANO DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366250",
"telephone_number": "915-996-9363",
"fax_number": "915-613-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11620 PELLICANO DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366250",
"telephone_number": "915-996-9363",
"fax_number": "915-613-5496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENT CROSS MEDICAL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-05",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "CHUKWU",
"authorized_official_first_name": "IKEDIEZE",
"authorized_official_middle_name": "IGWE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "915-996-9363",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "N2442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.