1St Med, PLLC – Family Medicine Physician

Key facts

NPI: 1780315424
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: 1ST MED, PLLC
Practice address: 9411 Dyer St Ste B
El Paso, TX 79924-6407
Phone: (915) 250-0007
NPI assigned: Jun 23, 2022
Organization subpart: No

Authorized official

Name: Dr. Caleb Janosz, MD
Title: President
Phone: (915) 250-0007

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Caleb Joseph Janosz, MD Family Medicine Physician · El Paso, TX · NPI 1447606181

Medicare reassignment NPD FAMILY MEDICINE · TX

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D2273209	1St Med 9411 Dyer St Suite B, El Paso, TX 79924	Provider-performed microscopy	Apr 30, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20221004000539	TX	Part B Supplier - Clinic/Group Practice	2567848245	Receives reassigned benefits from 1 practitioner Practice locations: El Paso, TX

National Provider Directory

Locations

9411 Dyer St
Ste B
El Paso, TX 79924
Phone (915) 250-0007

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

9411 Dyer St Ste B
El Paso, TX 79924-6407

Mailing address

9411 Dyer St Ste B
El Paso, TX 79924-6407
Phone (915) 250-0007

Other providers in El Paso, TX

All providers in El Paso, TX · Family Medicine Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.