Active NPI
Irish Faye Rivera Pugao, PA
- Physician Assistant
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07983
- Practice address
- 1485 George Dieter Dr
Suite 107
El Paso, TX 79936-7650 - Phone
- (915) 790-5700
- Fax
- (915) 521-7082
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200174.RX | LA | |
| Physician Assistant | 363A00000X | PA07983 | TX | Primary |
Addresses
Primary practice location
1485 George Dieter Dr
Suite 107
El Paso, TX 79936-7650
Mailing address
1485 George Dieter Dr
Suite 107
El Paso, TX 79936-7650
Phone (915) 790-5700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1521 Joe Battle Blvd
El Paso, TX 79936-6286
Phone (915) 760-5700
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 90.22
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200174.RX | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Current | Accepting new patients | |
| Gulf South Medical & Surgical Institute, Inc. | Past | Accepting new patients |
Locations
1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200
1485 George Dieter Dr
Ste 107
El Paso, TX 79936
Phone (915) 521-7087
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
300 S Zaragoza Rd
El Paso, TX 79907
Phone (915) 860-8820
Interoperability endpoints
- irish.pugao@direct.myhealthep.org
Organizations & group practices 3
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 University Medical Center of EL Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
dba Covington Dermatology Clinic
- Specialist
- Covington, LA
- NPI 1437320231
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Medical Center of EL Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
dba UMC Regional Laboratory
- Clinical Medical Laboratory
- El Paso, TX
- NPI 1932434925
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454716800000",
"number": "1548355548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 GEORGE DIETER DR",
"address_2": "SUITE 107",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367650",
"telephone_number": "915-790-5700",
"fax_number": "915-521-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 GEORGE DIETER DR",
"address_2": "SUITE 107",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367650",
"telephone_number": "915-790-5700",
"fax_number": "915-521-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGAO",
"first_name": "IRISH FAYE",
"middle_name": "RIVERA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2016-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200174.RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07983",
"primary": true
}
],
"identifiers": [],
"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 6, 2016; 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.
- 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.