Individual provider Active NPI

Ben Saiyasombat, MD

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1700380128
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A202405 Issued in CA
Practice address
11274 McCombs St
El Paso, TX 79934-3455
Phone
(915) 242-2400
NPI assigned
Mar 20, 2018
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125.072283 IL
Emergency Medicine Physician 207P00000X A202405 CA Primary

Addresses

Primary practice location

11274 McCombs St
El Paso, TX 79934-3455

Mailing address

2650 N Lakeview Ave Apt 3101
Chicago, IL 60614-1828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20210817000586 TX Practitioner - Emergency Medicine 3870841588 Reassigns benefits to 3 organizations
I20250528002794 CA Practitioner - Emergency Medicine 3870841588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

9080 Colima Rd
Whittier, CA 90605-1600
Phone (877) 346-2211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 9, 2021 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 9, 2021 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Mar 17, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Gem Medical Group Corporation Emergency Medicine Past Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

12101 Edgemere Blvd
El Paso, TX 79938
Phone (915) 832-2490

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1700380128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N LAKEVIEW AVE APT 3101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11274 MCCOMBS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343455",
            "telephone_number": "915-242-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIYASOMBAT",
        "first_name": "BEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125.072283",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A202405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.