Active NPI
Rodolfo Fierro-Stevens, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- El Paso, TX
National Provider Identifier
1568469245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- J4111
- Practice address
- 1400 N El Paso St
B
El Paso, TX 79902-3437 - Phone
- (915) 544-4911
- Fax
- (915) 544-7610
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | J4111 | TX | Primary |
Addresses
Primary practice location
1400 N El Paso St
B
El Paso, TX 79902-3437
Mailing address
1400 N El Paso St
B
El Paso, TX 79902-3437
Phone (915) 544-4911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000T15S8 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4111 | TX | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Children'S Physician Group | Current | Accepting new patients | |
| Rodolfo Fierro-Stevens, M.D. | Neurology With Special Qualifications in Child Neurology | Past | Accepting new patients |
Locations
5400 Alameda Ave
Bldg B
El Paso, TX 79905
Phone (915) 242-8402
4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEHABA/Endpoint/GEHABA
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 and National Provider Directory roles.
-
- Specialist
- El Paso, TX
- NPI 1992067128
-
- Neurology with Special Qualifications in Child Neurology Physician
- El Paso, TX
- NPI 1518264191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1568469245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N EL PASO ST",
"address_2": "B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023437",
"telephone_number": "915-544-4911",
"fax_number": "915-544-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N EL PASO ST",
"address_2": "B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023437",
"telephone_number": "915-544-4911",
"fax_number": "915-544-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERRO-STEVENS",
"first_name": "RODOLFO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "J4111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000T15S8",
"state": "TX"
}
],
"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 Jul 9, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.