NPIMap

Organization Active NPI

Elite OB-GYN Services of El Paso, PLLC

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1780069138
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ELITE OB-GYN SERVICES OF EL PASO, PLLC
Practice address
11040 Vista del Sol Dr
El Paso, TX 79935-4314
Phone
(915) 591-4624
Fax
(915) 591-9291
NPI assigned
Jul 28, 2015
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Nicholas Wadlington
Title
Group Vice President/Ao
Phone
(615) 372-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

11040 Vista del Sol Dr
El Paso, TX 79935-4314

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other identifiers 1

IdentifierTypeStateIssuer
362686301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330002465 TX Part B Supplier - Clinic/Group Practice 9537466958 Receives reassigned benefits from 18 practitioners
Practice locations: El Paso, TX; Horizon City, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0902671Elite OBGYN Services of El Paso PLLC11040 Vista del Sol Suite a, El Paso, TX 79935Provider-performed microscopySep 30, 2026

National Provider Directory

National Provider Directory

Locations

10175 Gateway Blvd W
Ste 204
El Paso, TX 79925
Phone (915) 263-7100

10175 Gateway Blvd W
Ste 208
El Paso, TX 79925
Phone (915) 263-7100

10201 Gateway Blvd W
Ste 400
El Paso, TX 79925
Phone (915) 590-1980

11040 Vista del Sol Dr
El Paso, TX 79935
Phone (915) 478-8807

12379 Edgemere Blvd
Ste 102
El Paso, TX 79938
Phone (915) 500-3076

1700 N Oregon St
El Paso, TX 79902
Phone (915) 283-3965

1700 N Oregon St
Ste 550
El Paso, TX 79902
Phone (915) 235-5754

1700 N Oregon St
Ste 660
El Paso, TX 79902
Phone (915) 313-2720

1700 N Oregon St
Ste 790
El Paso, TX 79902
Phone (915) 313-9383

3100 N Stanton St
#A
El Paso, TX 79902
Phone (915) 253-2947

4758 Loma del Sur Dr
#B
El Paso, TX 79934
Phone (915) 313-9383

550 S Mesa Hills Dr
Ste D3
El Paso, TX 79912
Phone (575) 635-3963

865 N Resler Dr
Ste D
El Paso, TX 79912
Phone (915) 500-3076

13001 Eastlake Blvd
Ste 114
Horizon City, TX 79928
Phone (915) 542-2352

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1780069138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354314",
            "telephone_number": "915-591-4624",
            "fax_number": "915-591-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE OB-GYN SERVICES OF EL PASO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT/AO",
        "authorized_official_telephone_number": "615-372-7332"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362686301",
            "state": "TX"
        }
    ],
    "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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.