Individual provider Active NPI

Maria E Larrazaleta, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1639464803
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q5209 Issued in TX
Practice address
9398 Viscount
Suite 2B
El Paso, TX 79925-2709
Phone
(915) 629-0442
Fax
(915) 629-0552
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q5209 TX Primary

Addresses

Primary practice location

9398 Viscount
Suite 2B
El Paso, TX 79925-2709

Mailing address

945 S Mesa Hills Dr
Apt 3803
El Paso, TX 79912-5122
Phone (787) 308-1851

Other identifiers 1

IdentifierTypeStateIssuer
Q5209OtherTXTX MEDICAL LICENSE #

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
I20151102000736 TX Practitioner - Obstetrics/Gynecology 7315257409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Her Health OB/GYN and Fertility Clinic PAGroup PAC ID 1759568405, 3 clinicians

Practice addresses (Care Compare)

9398 Viscount Blvd
Suite 2B
El Paso, TX 79925-8056
Phone (915) 629-0442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Her Health OB/GYN & Fertility Clinic PA Obstetrics & Gynecology CurrentSince Sep 25, 2015 Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
New Self, PLLC Obstetrics & Gynecology Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

6000 Northern Pass Dr
Ste B
El Paso, TX 79911
Phone (915) 629-0442

9398 Viscount Blvd
Ste 2B
El Paso, TX 79925
Phone (915) 629-0442

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1639464803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S MESA HILLS DR",
            "address_2": "APT 3803",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125122",
            "telephone_number": "787-308-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 VISCOUNT",
            "address_2": "SUITE 2B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252709",
            "telephone_number": "915-629-0442",
            "fax_number": "915-629-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRAZALETA",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q5209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE #",
            "identifier": "Q5209",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.