Individual provider Active NPI

Mark Joseph Gallardo, M.D.

  • Ophthalmology Physician
  • El Paso, TX
National Provider Identifier
1659302099
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M1100 Issued in TX
Practice address
959 Sunland Park Dr Ste 100
El Paso, TX 79922-1323
Phone
(915) 542-0279
Fax
(915) 542-0156
NPI assigned
Jul 5, 2006
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M1100 TX Primary

Addresses

Primary practice location

959 Sunland Park Dr Ste 100
El Paso, TX 79922-1323

Mailing address

959 Sunland Park Dr Ste 100
El Paso, TX 79922-1323
Phone (915) 542-0279

Other identifiers 1

IdentifierTypeStateIssuer
J0140316OtherTXDPS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050827000195 TX Practitioner - Ophthalmology 5890726012 Reassigns benefits to 1 organization
I20140417001310 NM Practitioner - Ophthalmology 5890726012 Practice locations: Las Cruces, NM

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Eye Surgeons, P.a.Group PAC ID 0749367308, 2 clinicians

Practice addresses (Care Compare)

959 Sunland Park Dr
Suite B
El Paso, TX 79922-1323
Phone (915) 542-0279

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery724

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Eye Surgeons, P.a. Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
Summit Anesthesia Group, PLLC CurrentSince Nov 10, 2024 Accepting new patients
Summit Surgical Center, PLLC CurrentSince Dec 8, 2020 Accepting new patients
Southwest Vision Specialists, P.a. PastSince Jun 5, 2018 Accepting new patients
Kantex Anesthesia Services PLLC PastSince Feb 6, 2025 Accepting new patients
Richard E. Simmons, M.D., Inc. Ophthalmology Past Accepting new patients

Locations

1201 N Mesa St
Ste G
El Paso, TX 79902
Phone (915) 542-0279

959 Sunland Park Dr
El Paso, TX 79922
Phone (915) 542-0279

959 Sunland Park Dr
Ste 100
El Paso, TX 79922
Phone (915) 542-0279

959 Sunland Park Dr
Ste 200
El Paso, TX 79922
Phone (866) 991-9030

959 Sunland Park Dr
Ste B
El Paso, TX 79922
Phone (915) 542-0279

Organizations & group practices 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1659302099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 SUNLAND PARK DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221323",
            "telephone_number": "915-542-0279",
            "fax_number": "915-542-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 SUNLAND PARK DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221323",
            "telephone_number": "915-542-0279",
            "fax_number": "915-542-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS NUMBER",
            "identifier": "J0140316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.