NPIMap

Individual provider Active NPI

Douglas Payne, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1487639183
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79522 Issued in CA
Practice address
550 S Mesa Hills Dr Ste C2
El Paso, TX 79912-5765
Phone
(915) 532-6069
Fax
(915) 532-5060
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A79522 CA
Internal Medicine Physician 207R00000X A79522 CA Primary

Addresses

Primary practice location

550 S Mesa Hills Dr Ste C2
El Paso, TX 79912-5765

Mailing address

550 S Mesa Hills Dr Ste C2
El Paso, TX 79912-5765
Phone (915) 532-6069

Other identifiers 3

IdentifierTypeStateIssuer
TXB104323OtherTXPTAN
N1054OtherTXTEXAS MEDICAL BOARD
00A79522OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000834 TX Practitioner - Internal Medicine 0648374074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

550 S Mesa Hills
Suite C2
El Paso, TX 79912-5765
Phone (915) 845-5700

6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Medical Group PA Internal Medicine Current Accepting new patients
El Paso Medical Group PA Internal Medicine CurrentSince Apr 13, 2010 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

1201 N Mesa St
Ste I
El Paso, TX 79902

550 S Mesa Hills Dr
Ste C2
El Paso, TX 79912
Phone (915) 532-6069

Interoperability endpoints

  • Direct secure messaging: douglas.payne.3@16730.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1487639183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR STE C2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125765",
            "telephone_number": "915-532-6069",
            "fax_number": "915-532-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR STE C2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125765",
            "telephone_number": "915-532-6069",
            "fax_number": "915-532-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A79522",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB104323",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "N1054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "00A79522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.