Active NPI
Mark Joseph Gallardo, M.D.
- Ophthalmology Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- M1100
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J0140316 | Other | TX | DPS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 724 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Eye Surgeons, P.a. | Ophthalmology | Current | Accepting new patients |
| Summit Anesthesia Group, PLLC | Current | Accepting new patients | |
| Summit Surgical Center, PLLC | Current | Accepting new patients | |
| Southwest Vision Specialists, P.a. | Past | Accepting new patients | |
| Kantex Anesthesia Services PLLC | Past | 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.
-
- Ophthalmology Physician
- El Paso, TX
- NPI 1467672857
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1497579288
-
- Ambulatory Surgical Clinic/Center
- El Paso, TX
- NPI 1871252809
-
- Certified Registered Nurse Anesthetist
- El Paso, TX
- NPI 1770635377
-
- Ophthalmology Physician
- Las Cruces, NM
- NPI 1790024636
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.