Active NPI
El Paso Integrated Physicians Group
- Internal Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EL PASO INTEGRATED PHYSICIANS GROUP
- Practice address
- 4532 N Mesa St
2ND Floor
El Paso, TX 79912 - Phone
- (915) 544-0326
- Fax
- (915) 544-2897
- NPI assigned
- Aug 8, 2006
- Last updated
- Aug 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Moreno, M.D.
- Title
- President
- Phone
- (915) 544-0326
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Gastroenterology Physician | 207RG0100X | |||
| Rheumatology Physician | 207RR0500X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
4532 N Mesa St
2ND Floor
El Paso, TX 79912
Mailing address
PO Box 3157
El Paso, TX 79923-3157
Phone (915) 544-0326
Other practice location 1
4532 N Mesa St
2nd Floor
El Paso, TX 79912-6102
Phone (915) 544-0326
Other practice location 2
1387 George Dieter Dr Ste D103
El Paso, TX 79936-7410
Phone (915) 544-0026
Other practice location 3
8815 Dyer St Ste 140
El Paso, TX 79904-2039
Phone (915) 544-0326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092550501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1387 George Dieter Dr
#D103
El Paso, TX 79936
1700 N Oregon St
Ste 730
El Paso, TX 79902
2022 Murchison Dr
Ste 103
El Paso, TX 79902
Phone (915) 592-8504
2022 Murchison Dr
Ste 104
El Paso, TX 79902
Phone (915) 544-7672
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1174518823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564963200000",
"number": "1598775348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "EL PASO",
"state": "TX",
"postal_code": "799233157",
"telephone_number": "915-544-0326",
"fax_number": "915-544-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 N MESA ST",
"address_2": "2ND FLOOR",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-544-0326",
"fax_number": "915-544-2897"
}
],
"practiceLocations": [
{
"address_1": "4532 N Mesa St",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799126102",
"country_code": "US",
"telephone_number": "915-544-0326",
"fax_number": "915-544-2897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1387 George Dieter Dr Ste D103",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799367410",
"country_code": "US",
"telephone_number": "915-544-0026",
"fax_number": "915-544-2897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8815 Dyer St Ste 140",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799042039",
"country_code": "US",
"telephone_number": "915-544-0326",
"fax_number": "915-544-2897",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EL PASO INTEGRATED PHYSICIANS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2019-08-05",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-544-0326",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092550501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- El Paso Institute of Eye Surgery Inc
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group (El Paso Integrated Physicians Group - Surecare Pharmacy)
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group
- El Paso Internal Medicine
- El Paso Internal Medicine Care PA
- El Paso Internists,PA (Aime D. Serna)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.