Individual provider Active NPI

David A Durussel, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • El Paso, TX
National Provider Identifier
1700896982
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
R3500 Issued in TX
Practice address
3215 Gateway Blvd W
El Paso, TX 79903
Phone
(915) 598-7246
Fax
(915) 633-6598
NPI assigned
Aug 9, 2006
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X R3500 TX Primary

Addresses

Primary practice location

3215 Gateway Blvd W
El Paso, TX 79903

Mailing address

3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246

Other practice location 1

7825 N Mesa St
El Paso, TX 79932-1623
Phone (915) 598-7246

Other practice location 2

12200 Paseo Nuevo Dr
El Paso, TX 79928-5796
Phone (915) 598-7246

Other identifiers 1

IdentifierTypeStateIssuer
393778101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180801002485 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8820346257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians
Epmed, PAGroup PAC ID 9032269881, 22 clinicians

Practice addresses (Care Compare)

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

7825 N Mesa St
El Paso Pain Center
El Paso, TX 79932-1623
Phone (915) 598-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
60.32
Promoting interoperability
98
Improvement activities
40
Cost
71.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epmed, PA Current Accepting new patients
Epmed, PA CurrentSince Aug 31, 2018 Accepting new patients
Epmed, PA CurrentSince Aug 31, 2018 Accepting new patients

Locations

11380 Gateway Blvd N
Ste 101
El Paso, TX 79934
Phone (915) 317-1145

12200 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 342-3399

3215 Gateway Blvd W
El Paso, TX 79903
Phone (915) 598-7246

3215 Gateway Blvd W
Ste 210
El Paso, TX 79903
Phone (915) 263-4850

7825 N Mesa St
El Paso, TX 79932
Phone (915) 598-7246

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1700896982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79903",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321623",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Paseo Nuevo Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799285796",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURUSSEL",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "R3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393778101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.