Organization Active NPI

El Paso Integrated Physicians Group

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1598775348
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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.NPI 1174518823
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
092550501MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.