NPIMap

Individual provider Active NPI

Ramsey R Hazboun, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1700949369
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2343 Issued in TX
Practice address
311 McClontock Dr
El Paso, TX 79932
Phone
(915) 842-8622
Fax
(915) 842-8619
NPI assigned
Dec 18, 2006
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2343 TX Primary

Addresses

Primary practice location

311 McClontock Dr
El Paso, TX 79932

Mailing address

311 McClintock Dr
El Paso, TX 79932
Phone (915) 842-9622

Other practice location 1

4930 Osborne Dr Ste A
El Paso, TX 79922-1043
Phone (915) 587-9455

Other identifiers 1

IdentifierTypeStateIssuer
194336702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000466 TX Practitioner - Internal Medicine 4880782408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Cooper Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramsey R Hazboun, M.D.P.a.Group PAC ID 3274659347, 2 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

311 McClintock Dr
El Paso, TX 79932-1734
Phone (915) 842-8622

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2343TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey R. Hazboun, M.D., P.a. CurrentSince Aug 2, 2010 Accepting new patients
Frio Hospital District PastSince Nov 1, 2024 Accepting new patients
Frio Hospital District Past Accepting new patients

Locations

311 McClintock Dr
El Paso, TX 79932
Phone (915) 247-8893

311 McClintock Dr
#R
El Paso, TX 79932
Phone (915) 842-8622

4930 Osborne Dr
Ste A
El Paso, TX 79922
Phone (915) 587-9455

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
White Acres Wellness & RehabilitationEl Paso, TX, CCN 675025 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Frio Hospital District

    dba White Acres Wellness & Rehabilitation

    • Skilled Nursing Facility
    • El Paso, TX
    • NPI 1871329946

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 4

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 12

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1700949369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MCCLINTOCK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79932",
            "telephone_number": "915-842-9622",
            "fax_number": "915-842-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MCCLONTOCK DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79932",
            "telephone_number": "915-842-8622",
            "fax_number": "915-842-8619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4930 Osborne Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799221043",
            "country_code": "US",
            "telephone_number": "915-587-9455",
            "fax_number": "915-587-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZBOUN",
        "first_name": "RAMSEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194336702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.