Individual provider Active NPI

Luis Edwin Feliu, PA

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1508963075
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03666 Issued in TX
Practice address
1211B E Cliff Dr
El Paso, TX 79902-4734
Phone
(915) 591-6226
Fax
(915) 308-9433
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03666 TX Primary

Addresses

Primary practice location

1211B E Cliff Dr
El Paso, TX 79902-4734

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (407) 533-6836

Other identifiers 3

IdentifierTypeStateIssuer
193595901MedicaidTX
193595902MedicaidTX
47924233MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address luis.feliu.1@29601.direct.athenahealth.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000561 TX Practitioner - Physician Assistant 9133120355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

10435 Vista del Sol Dr
El Paso, TX 79925-7920
Phone (915) 591-6229

1211 E Cliff Dr
El Paso, TX 79902-4734
Phone (915) 591-6226

260 US Hwy 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03666TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2022 Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Mar 4, 2024 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
El Paso Hospitalist Group PLLC Physician Assistant Past Accepting new patients
El Paso Hospitalist Services, PLLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

10435 Vista del Sol Dr
El Paso, TX 79925
Phone (915) 591-6227

1211 E Cliff Dr
#B
El Paso, TX 79902
Phone (915) 591-6226

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1508963075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "407-533-6836",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211B E CLIFF DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024734",
            "telephone_number": "915-591-6226",
            "fax_number": "915-308-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIU",
        "first_name": "LUIS",
        "middle_name": "EDWIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193595901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193595902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47924233",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luis.feliu.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1211B E Cliff Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799024734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.