Active NPI
Miguel Vergara IV
- Military Health Care Provider
- Fort Bliss, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 770304
- Practice address
- 18511 Highlander Medics St
Fort Bliss, TX 79906-5327 - Phone
- (915) 742-2273
- NPI assigned
- Jul 20, 2022
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 770304 | TX | Primary |
Addresses
Primary practice location
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Mailing address
3216 Titanic Ave
El Paso, TX 79904-3023
Phone (915) 238-6824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 521-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770304 | TX | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Ams, PLLC | Current | Accepting new patients |
Locations
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1134740202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1538894829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 TITANIC AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799043023",
"telephone_number": "915-238-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18511 HIGHLANDER MEDICS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "799065327",
"telephone_number": "915-742-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "MIGUEL",
"name_prefix": "Mr.",
"name_suffix": "IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2025-09-11",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "TX",
"license": "770304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.