Active NPI
Ronald J Blumenfeld, M.D.
- Specialist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D4715
- Practice address
- 4305 N Mesa St Ste B
El Paso, TX 79902-1124 - Phone
- (915) 779-7378
- Fax
- (915) 779-2822
- NPI assigned
- Jun 30, 2005
- Last updated
- Jan 28, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D4715 | TX | Primary |
| Otolaryngology Physician | 207Y00000X | D4715 | TX |
Addresses
Primary practice location
4305 N Mesa St Ste B
El Paso, TX 79902-1124
Mailing address
4305 N Mesa St Ste B
El Paso, TX 79902-1124
Phone (915) 779-7378
Other practice location 1
3030 Joe Battle Blvd
El Paso, TX 79938-2667
Phone (915) 242-1634
Other practice location 2
1733 Curie Dr
El Paso, TX 79902-2909
Phone (915) 533-5461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114996504 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100601000690 | TX | Practitioner - Otolaryngology | 6305975301 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gonzalo a Diaz | Current | Accepting new patients |
Locations
3030 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 242-1634
4305 N Mesa St
Ste B
El Paso, TX 79902
Phone 91577973781024
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba El Paso Sleep Disorders Center
- Sleep Medicine (Internal Medicine) Physician
- El Paso, TX
- NPI 1326261249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1477550861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 N MESA ST STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021124",
"telephone_number": "915-779-7378",
"fax_number": "915-779-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 N MESA ST STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021124",
"telephone_number": "915-779-7378",
"fax_number": "915-779-2822"
}
],
"practiceLocations": [
{
"address_1": "3030 Joe Battle Blvd",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799382667",
"country_code": "US",
"telephone_number": "915-242-1634",
"fax_number": "915-242-1651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1733 Curie Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799022909",
"country_code": "US",
"telephone_number": "915-533-5461",
"fax_number": "915-544-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUMENFELD",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "D4715",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "D4715",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114996504",
"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 Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.