Individual provider Active NPI

Gregory Trubowitsch, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • El Paso, TX
National Provider Identifier
1821091182
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
J2822 Issued in TX
Practice address
1700 Curie Dr
Ste 3800
El Paso, TX 79902-2985
Phone
(915) 532-3912
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X J2822 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X 92-368 NM
Retina Specialist (Ophthalmology) Physician 207WX0107X J2822 TX Primary

Addresses

Primary practice location

1700 Curie Dr
Ste 3800
El Paso, TX 79902-2985

Mailing address

1700 Curie
Suite #3800
El Paso, TX 79902
Phone (915) 532-3912

Other identifiers 1

IdentifierTypeStateIssuer
047248201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gtrubowitsch@swretina.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92-368NMMDRetina Specialist (Ophthalmology) Physician
J2822TXMDRetina Specialist (Ophthalmology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1821091182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CURIE",
            "address_2": "SUITE #3800",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-532-3912",
            "fax_number": "915-542-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "STE 3800",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022985",
            "telephone_number": "915-532-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBOWITSCH",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J2822",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "92-368",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "J2822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047248201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gtrubowitsch@swretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1700 Curie Dr",
            "address_2": "Ste 3800",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799022985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.