Andrew Weston Perry, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · El Paso, TX

NPI 1780443085 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1780443085
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
Medical Plaza II
10175 Gateway Blvd West, Suite 140
El Paso, TX 79925
Phone
(915) 218-8828
NPI assigned
Mar 18, 2024
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240621000937 TX Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
0446793244

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Las Palmas del Sol Internal Medicine, PLLC Current
since Mar 24, 2024
Accepting new patients

Locations

10175 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 218-8828

10175 Gateway Blvd W
Ste 300
El Paso, TX 79925
Phone (915) 218-8828

Interoperability endpoints

  • Direct secure messaging: andrew.perry@hca8.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

Medical Plaza II
10175 Gateway Blvd West, Suite 140
El Paso, TX 79925

Mailing address

Medical Plaza II
10175 Gateway Blvd West, Suite 300
El Paso, TX 79925

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1780443085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL PLAZA II",
            "address_2": "10175 GATEWAY BLVD WEST, SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL PLAZA II",
            "address_2": "10175 GATEWAY BLVD WEST, SUITE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-218-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ANDREW",
        "middle_name": "WESTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

All providers in El Paso, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.