Individual provider Active NPI

Irish Faye Rivera Pugao, PA

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1548355548
Registry record updated Feb 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07983 Issued in TX
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

Updated by the provider on Feb 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130408000016 TX Practitioner - Physician Assistant 1951463231 Reassigns benefits to 1 organization

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
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
PA.200174.RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District CurrentSince Feb 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.