Active NPI
Romulo C Tengco, MD
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1659389013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA42862
- Practice address
- 2300 McKinley Ave
El Paso, TX 79930-2240 - Phone
- (915) 562-3444
- Fax
- (915) 875-8854
- NPI assigned
- Aug 3, 2006
- Last updated
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA42862 | NJ | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | N4793 | TX |
Addresses
Primary practice location
2300 McKinley Ave
El Paso, TX 79930-2240
Mailing address
2300 McKinley Ave
El Paso, TX 79930-2240
Phone (915) 562-3444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5208203 | Medicaid | NJ | |
| 7475004 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42862 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1659389013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 MCKINLEY AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799302240",
"telephone_number": "915-562-3444",
"fax_number": "915-875-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MCKINLEY AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799302240",
"telephone_number": "915-562-3444",
"fax_number": "915-875-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENGCO",
"first_name": "ROMULO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA42862",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "N4793",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5208203",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7475004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Tenet Hospitals Limited (The Hospitals of Providence Sierra Campus)
- Tenet Hospitals Limited (The Hospitals of Providence Memorial Campus)
- Tenet Hospitals Limited
- Tenet Hospitals Limited (The Hospitals of Providence East Campus)
- Jesse Teng, DDS
- Abisola Tepede, PHARMD
- Edna Tepezano
- Irene Teran
- Steve Teran, PHYSICAL THERAPIST
- Regina Deplata Tercero, MS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.