Organization Active NPI

Luis D. Acosta M.D.P.a.

  • Neurology Physician
  • El Paso, TX
National Provider Identifier
1477833754
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J3713 Issued in TX
Legal business name
LUIS D. ACOSTA M.D.P.A.
Practice address
1201 N Mesa St
Suite E
El Paso, TX 79902-4517
Phone
(915) 541-1166
Fax
(915) 541-1175
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Luis David Acosta
Title
M.D.P.a.
Phone
(915) 541-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X J3713 TX Primary

Addresses

Primary practice location

1201 N Mesa St
Suite E
El Paso, TX 79902-4517

Mailing address

1201 N Mesa St
Suite E
El Paso, TX 79902-4517
Phone (915) 541-1166

Other identifiers 1

IdentifierTypeStateIssuer
115276101MedicaidTX

National Provider Directory

National Provider Directory

Locations

1201 N Mesa St
Ste B
El Paso, TX 79902
Phone (915) 533-5733

1201 N Mesa St
Ste E
El Paso, TX 79902
Phone (915) 541-1166

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1477833754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MESA ST",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024517",
            "telephone_number": "915-541-1166",
            "fax_number": "915-541-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MESA ST",
            "address_2": "SUITE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024517",
            "telephone_number": "915-541-1166",
            "fax_number": "915-541-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS D. ACOSTA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "M.D.P.A.",
        "authorized_official_telephone_number": "915-541-1166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J3713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115276101",
            "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 Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.