Individual provider Active NPI

Jorge Luis Sarmiento, M.D.

  • Diagnostic Radiology Physician
  • El Paso, TX
National Provider Identifier
1821005331
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P5467 Issued in TX
Practice address
10501 Gateway Blvd W
Ste 101
El Paso, TX 79925-7929
Phone
(915) 225-2480
Fax
(915) 315-2481
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P5467 TX Primary

Addresses

Primary practice location

10501 Gateway Blvd W
Ste 101
El Paso, TX 79925-7929

Mailing address

10501 Gateway Blvd W
Ste 101
El Paso, TX 79925-7929
Phone (915) 225-2480

Other identifiers 2

IdentifierTypeStateIssuer
184007607MedicaidTX
387683AH8EOtherMEDICARE

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
I20060912000493 TX Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 9234133844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10501 Gateway Blvd W
Suite 101
El Paso, TX 79925-7929
Phone (915) 225-2480

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5467TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology PLLC CurrentSince Oct 17, 2014 Accepting new patients
El Paso Neurosurgery Center, P.a. PastSince Jul 1, 2003 Accepting new patients

Locations

643 S Mesa Hills Dr
#B
El Paso, TX 79912

10501 Gateway Blvd W
Ste 101
El Paso, TX 79925
Phone (915) 225-2480

643 S Mesa Hills Dr
El Paso, TX 79912
Phone (915) 225-4280

10400 Vista del Sol Dr
Ste 104
El Paso, TX 79925
Phone (915) 225-2480

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1821005331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 GATEWAY BLVD W",
            "address_2": "STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257929",
            "telephone_number": "915-225-2480",
            "fax_number": "915-315-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 GATEWAY BLVD W",
            "address_2": "STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257929",
            "telephone_number": "915-225-2480",
            "fax_number": "915-315-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P5467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184007607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "387683AH8E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.