Individual provider Active NPI

Eduardo M Dejesus-Perdomo, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1639179690
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8988 Issued in TX
Practice address
7812 Gateway Blvd E
Ste 230
El Paso, TX 79915-1802
Phone
(915) 592-8223
Fax
(915) 592-8328
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8988 TX Primary
Emergency Medicine Physician 207P00000X J8988 TX

Addresses

Primary practice location

7812 Gateway Blvd E
Ste 230
El Paso, TX 79915-1802

Mailing address

910 E Redd Rd Ste K
Unit 324
El Paso, TX 79912-7348
Phone (915) 219-4300

Other identifiers 9

IdentifierTypeStateIssuer
8U6945OtherTXBCBS
110166787OtherTXMEDICARE RAILROAD
111685703MedicaidTX
P00371198OtherTXRAILROAD
111685705MedicaidTX
52383822MedicaidNM
111685702MedicaidTX
111685704MedicaidTX
8AW610OtherTXBC/BS OF TEXAS

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
I20041124000451 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 8729043187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7812 Gateway Blvd E
Suite 230
El Paso, TX 79915-1837
Phone (915) 592-8223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of West Texas PLLC CurrentSince Jun 1, 2012 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

4445 N Mesa St
Ste 122
El Paso, TX 79902

910 E Redd Rd
Ste K
El Paso, TX 79912
Phone (915) 525-9047

7236 N Mesa St
El Paso, TX 79912
Phone (915) 581-6405

5746 Trowbridge Dr
El Paso, TX 79925

810 E Redd Rd
Ste D
El Paso, TX 79912
Phone (915) 298-1008

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1639179690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E REDD RD STE K",
            "address_2": "UNIT 324",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127348",
            "telephone_number": "915-219-4300",
            "fax_number": "915-519-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E",
            "address_2": "STE 230",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151802",
            "telephone_number": "915-592-8223",
            "fax_number": "915-592-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS-PERDOMO",
        "first_name": "EDUARDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8988",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U6945",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110166787",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111685703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00371198",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111685705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52383822",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111685702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111685704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "8AW610",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.