Individual provider Active NPI

Luis Ruben Tellez, APRN-CNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1841950979
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1064161 Issued in TX
Practice address
11400 Edgemere Blvd Apt 3302
El Paso, TX 79936-2428
Phone
(915) 244-8531
NPI assigned
Dec 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1064161 TX Primary

Addresses

Primary practice location

11400 Edgemere Blvd Apt 3302
El Paso, TX 79936-2428

Mailing address

11400 Edgemere Blvd Apt 3302
El Paso, TX 79936-2428

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321002792 TX Practitioner - Nurse Practitioner 0345635793 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asad Omar MD PAGroup PAC ID 4486938586, 9 clinicians

Practice addresses (Care Compare)

1512 N Zaragoza Rd
Suite B
El Paso, TX 79936-8903
Phone (915) 249-3900

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Global PLLC CurrentSince Aug 1, 2025 Accepting new patients
Donya Anesthesiology and Pain Medicine, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Oct 6, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 6, 2023 Accepting new patients
Asad Omar MD PA CurrentSince Jun 30, 2023 Accepting new patients
Fahad Omar MD PA CurrentSince Jul 1, 2025 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
El Paso Pulmonary Association PastSince Mar 1, 2022 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

11331 James Watt Dr
Bldg 200
El Paso, TX 79936
Phone (915) 260-8256

5539 N Mesa St
El Paso, TX 79912

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

13290 Northwest Fwy
Ste F355
Houston, TX 77040

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 8

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 1

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1841950979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 EDGEMERE BLVD APT 3302",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 EDGEMERE BLVD APT 3302",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362428",
            "telephone_number": "915-244-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "LUIS",
        "middle_name": "RUBEN",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1064161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.