Individual provider Active NPI

Jose Angel Barahona, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1720151509
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1353 Issued in TX
Practice address
10501 Vista del Sol Dr Ste 110
El Paso, TX 79925-7941
Phone
(915) 849-0243
Fax
(915) 849-0313
NPI assigned
Nov 17, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 K1353 TX Primary

Addresses

Primary practice location

10501 Vista del Sol Dr Ste 110
El Paso, TX 79925-7941

Mailing address

10501 Vista del Sol Dr Ste 110
El Paso, TX 79925-7941
Phone (915) 849-0243

Other identifiers 1

IdentifierTypeStateIssuer
127552105MedicaidTX

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
I20040521001231 TX Practitioner - Internal Medicine 0749271294 Reassigns benefits to 1 organization
Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10501 Vista del Sol Dr
Suite 110
El Paso, TX 79925-7941
Phone (915) 849-0243

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose a Barahona MD PLLC Internal Medicine CurrentSince Sep 28, 2020 Accepting new patients
Erik Garcia FNP-C PLLC PastSince Nov 24, 2024 Accepting new patients
Gary Grindstaff Dpmpa Past Accepting new patients
Edward C. Juarez, MD, PA Family Medicine Past Accepting new patients

Locations

10501 Vista del Sol Dr
Ste 110
El Paso, TX 79925
Phone (915) 593-5444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHDACD/Endpoint/FHDACD

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 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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1720151509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257941",
            "telephone_number": "915-849-0243",
            "fax_number": "915-849-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257941",
            "telephone_number": "915-849-0243",
            "fax_number": "915-849-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAHONA",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127552105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.