Individual provider Active NPI

Michael Thomas Traylor, MD

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1770573149
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E4725T Issued in TX
Practice address
4301 N Mesa St
Suite 100
El Paso, TX 79902-1121
Phone
(915) 532-6767
Fax
(915) 532-4023
NPI assigned
Oct 26, 2005
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E4725T TX Primary

Addresses

Primary practice location

4301 N Mesa St
Suite 100
El Paso, TX 79902-1121

Mailing address

4301 N Mesa St
Suite 100
El Paso, TX 79902-1121
Phone (915) 532-6767

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4725TTXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Deluca MD PA PastSince Jan 2, 2004 Accepting new patients

Organizations & group practices 1

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1770573149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021121",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021121",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E4725T",
            "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 5, 2010; 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.