Individual provider Active NPI

Rodolfo Fierro-Stevens, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • El Paso, TX
National Provider Identifier
1568469245
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
J4111 Issued in TX
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

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P000T15S8MedicaidTX

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
I20110404000762 TX Practitioner - Neurology 2466636154 Reassigns benefits to 1 organization
Practice locations: El Paso, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4111TXMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Children'S Physician Group CurrentSince Oct 2, 2024 Accepting new patients
Rodolfo Fierro-Stevens, M.D. Neurology With Special Qualifications in Child Neurology PastSince Nov 16, 2010 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.