NPIMap

Organization Active NPI

Erj Medical P.a.

  • Interventional Pain Medicine Physician
  • El Paso, TX
National Provider Identifier
1659477701
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G1525 Issued in TX
Legal business name
ERJ MEDICAL P.A.
Doing business as
Texas Pain Management
Practice address
1717 Brown St Ste 3
El Paso, TX 79902-4730
Phone
(915) 261-7226
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Efrain Rivera Jr., M.D.NPI 1780780858
Title
Owner
Phone
(915) 219-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X G1525 TX Primary

Addresses

Primary practice location

1717 Brown St Ste 3
El Paso, TX 79902-4730

Mailing address

PO Box 222187
El Paso, TX 79913-5187
Phone (915) 219-4300

Other identifiers 2

IdentifierTypeStateIssuer
173502901MedicaidTX
0046MQOtherTXBCBS

Other names 1

  • Texas Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000628 TX Part B Supplier - Clinic/Group Practice 4587607585 Receives reassigned benefits from 7 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2099982Texas Pain Management1717 N Brown Street Building # 3, El Paso, TX 79902AccreditationMar 20, 2027

National Provider Directory

National Provider Directory

Locations

5959 Gateway Blvd W
Ste 120
El Paso, TX 79925

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1659477701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222187",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799135187",
            "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": "1717 BROWN ST STE 3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024730",
            "telephone_number": "915-261-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERJ MEDICAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-219-4300",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "G1525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173502901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046MQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.