Individual provider Active NPI

Leonardo Arturo Longoria, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1558689554
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R1407 Issued in TX
Practice address
2000B Trans Mountain Rd Ste 260
El Paso, TX 79911-3600
Phone
(915) 328-4793
Fax
(915) 591-9215
NPI assigned
May 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R1407 TX Primary

Addresses

Primary practice location

2000B Trans Mountain Rd Ste 260
El Paso, TX 79911-3600

Mailing address

1404 Lost Padre Mine Dr
El Paso, TX 79902-2820
Phone (915) 526-7407

Other identifiers 1

IdentifierTypeStateIssuer
R1407OtherTXTEXAS MEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024000949 TX Practitioner - Obstetrics/Gynecology 8921223983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9639 Dyer St
El Paso, TX 79924-4703
Phone (915) 877-7343

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1407TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lalk Medica, PA Obstetrics & Gynecology CurrentSince Oct 2, 2017 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

9639 Dyer St
El Paso, TX 79924
Phone (915) 702-4461

4659 Cohen Ave
Unit D
El Paso, TX 79924
Phone (915) 755-7505

Interoperability endpoints

  • Direct secure messaging: leonardo.longoria.1@16537.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16537/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558689554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 LOST PADRE MINE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022820",
            "telephone_number": "915-526-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000B TRANS MOUNTAIN RD STE 260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113600",
            "telephone_number": "915-328-4793",
            "fax_number": "915-591-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "LEONARDO",
        "middle_name": "ARTURO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R1407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "R1407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.