Individual provider Active NPI

Hector Lucas Rodriguez Gonzalez, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1780091520
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2212 Issued in TX
Practice address
2311 N Mesa St Ste D
El Paso, TX 79902-3575
Phone
(915) 292-4626
Fax
(915) 292-4627
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2212 TX Primary

Addresses

Primary practice location

2311 N Mesa St Ste D
El Paso, TX 79902-3575

Mailing address

2311 N Mesa St Ste D
El Paso, TX 79902-3575
Phone (915) 292-4626

Other practice location 1

550 S Mesa Hills Dr Ste C3
El Paso, TX 79912-5765
Phone (915) 444-5460

Other identifiers 1

IdentifierTypeStateIssuer
R2212OtherTXTEXAS MEDICAL BOARD

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
I20170705002637 TX Practitioner - Family Practice 1759650856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2311 N Mesa St
Suite D
El Paso, TX 79902-3575
Phone (915) 740-8615

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2212TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hector Lucas Rodriguez Gonzalez PA Family Medicine CurrentSince May 20, 2024 Accepting new patients
Diagnostic Pro Imaging PastSince Jul 24, 2022 Accepting new patients

Locations

2311 N Mesa St
Ste D
El Paso, TX 79902
Phone (915) 533-6844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GECFDD
  • Direct secure messaging: hectorrodriguezgonzalez@syv.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GECFDD/Endpoint/GECFDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1780091520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-292-4626",
            "fax_number": "915-292-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-292-4626",
            "fax_number": "915-292-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Mesa Hills Dr Ste C3",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799125765",
            "country_code": "US",
            "telephone_number": "915-444-5460",
            "fax_number": "915-225-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "HECTOR",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R2212",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.