NPIMap

Individual provider Active NPI

Fernando Raudales, M.D.

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1801880307
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G9646 Issued in TX
Practice address
1310 Murchison Drive
Suite 100
El Paso, TX 79902
Phone
(915) 455-4500
Fax
(915) 544-4572
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G9646 TX Primary

Addresses

Primary practice location

1310 Murchison Drive
Suite 100
El Paso, TX 79902

Mailing address

1310 Murchison Drive
Suite 100
El Paso, TX 79902
Phone (915) 455-4500

Other identifiers 1

IdentifierTypeStateIssuer
136281610MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000041 TX Practitioner - NephrologyPractitioner - Internal Medicine 7416865753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Kidney Specialists PAGroup PAC ID 6608866819, 9 clinicians
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

11989 Pellicano Dr
Suite C
El Paso, TX 79936-6288

1310 Murchison Dr
Suite 100
El Paso, TX 79902-4821

1601 Brown St
El Paso, TX 79902-4724
Phone (915) 544-4500

5915 Silver Springs Dr
BLDG 3a
El Paso, TX 79912-4126
Phone (706) 296-8632

Hospital & facility affiliations

  • DaVita Transmountain Dialysis Dialysis facility, El Paso, TX, CCN 672501
  • DaVita Central City Dialysis Dialysis facility, El Paso, TX, CCN 452651
  • DaVita Upper Valley Dialysis Dialysis facility, El Paso, TX, CCN 672536
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024
  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Kidney Specialists PA Nephrology CurrentSince Sep 15, 2003 Accepting new patients
Medical Office Force CurrentSince Jan 1, 2025 Accepting new patients
Modern MD PLLC PastSince Dec 4, 2020 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

5915 Silver Springs Dr
Bldg 3A
El Paso, TX 79912
Phone (706) 296-8632

1310 Murchison Dr
#100
El Paso, TX 79902
Phone (915) 303-8977

1601 Brown St
El Paso, TX 79902
Phone (915) 533-1789

11989 Pellicano Dr
Ste C
El Paso, TX 79936
Phone (915) 857-0700

1700 Curie Dr
Ste 4300
El Paso, TX 79902
Phone (915) 544-4500

Interoperability endpoints

  • Direct secure messaging: fernando.raudales.1@17767.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17767/brand/1/csg/1/fhir/r4

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 11

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1801880307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MURCHISON DRIVE",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-455-4500",
            "fax_number": "915-546-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MURCHISON DRIVE",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-455-4500",
            "fax_number": "915-544-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUDALES",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G9646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136281610",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.