Individual provider Active NPI

Angelica Baylon Andrew, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1740644061
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S2729 Issued in TX
Practice address
3901 N Mesa St
El Paso, TX 79902-1501
Phone
(915) 838-0100
Fax
(915) 838-0122
NPI assigned
Apr 12, 2016
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S2729 TX Primary

Addresses

Primary practice location

3901 N Mesa St
El Paso, TX 79902-1501

Mailing address

3901 N Mesa St
El Paso, TX 79902-1501
Phone (915) 838-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S2729TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Centers of El Paso PA Pediatrics Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angelica.baylonandrew@direct.myhealthep.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1740644061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021501",
            "telephone_number": "915-838-0100",
            "fax_number": "915-838-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021501",
            "telephone_number": "915-838-0100",
            "fax_number": "915-838-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLON ANDREW",
        "first_name": "ANGELICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.