Active NPI
Robert W. Kilgo, M.D.
- Emergency Medicine Physician
- El Paso, TX
National Provider Identifier
1457340549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L6087
- Practice address
- 4815 Alameda Ave
El Paso, TX 79905 - Phone
- (915) 215-4600
- NPI assigned
- Oct 20, 2005
- Last updated
- Nov 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L6087 | TX | Primary |
Addresses
Primary practice location
4815 Alameda Ave
El Paso, TX 79905
Mailing address
440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158542402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6087 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| El Paso County Hospital District | Past | Accepting new patients | |
| Sierra Vista Hospital | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
- Emergency Medicine Physician
- Durango, CO
- NPI 1568495653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1457340549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 RAYNOLDS ST # 51015",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051613",
"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": "4815 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "79905",
"telephone_number": "915-215-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGO",
"first_name": "ROBERT",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L6087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158542402",
"state": "TX"
}
],
"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 Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.