Organization Active NPI

Galo a Rodarte MD PA

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1629273305
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GALO A RODARTE MD PA
Practice address
400 E Robinson Ave
Ste a
El Paso, TX 79902-2619
Phone
(915) 532-9220
Fax
(915) 532-9230
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mrs. Maria E Enriquez
Title
Office Manager
Phone
(915) 532-9220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

400 E Robinson Ave
Ste a
El Paso, TX 79902-2619

Mailing address

400 East Robinson # a
El Paso, TX 79902-2619
Phone (915) 532-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000523 TX Part B Supplier - Clinic/Group Practice 3173584448 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0963926Galo a Rodarte, MD PA400 East Robinson Suite a, El Paso, TX 79902Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

Locations

400 E Robinson Ave
#A
El Paso, TX 79902
Phone (915) 532-9220

Practitioners & affiliated clinicians

Practitioners 4

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1629273305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST ROBINSON # A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022619",
            "telephone_number": "915-532-9220",
            "fax_number": "915-532-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ROBINSON AVE",
            "address_2": "STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022619",
            "telephone_number": "915-532-9220",
            "fax_number": "915-532-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALO A RODARTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-532-9220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.