Individual provider Active NPI

Ruben Rafael Roncallo, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1851318737
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K9162 Issued in TX
Practice address
4500 North Mesa
El Paso, TX 79912
Phone
(915) 532-9000
Fax
(915) 532-9006
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K9162 TX Primary

Addresses

Primary practice location

4500 North Mesa
El Paso, TX 79912

Mailing address

7500 Viscount Blvd Ste 298
El Paso, TX 79925-5607
Phone (915) 200-2694

Other identifiers 3

IdentifierTypeStateIssuer
154900802OtherTXTHSTEPS BORDER PEDIATRICS
101868104MedicaidTX
101868105OtherTXCHSCN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nancy.Gutierrez@umcelpaso.org Direct

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
I20210526000974 TX Practitioner - Pediatric Medicine 0749689644 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umc El Paso Healthcare Inc Pediatrics CurrentSince Feb 3, 2021 Accepting new patients
El Paso Children'S Hospital Corporation Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Vinay Patel, M.D., P.a. Past Accepting new patients
El Paso County Hospital District Pediatrics Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

7500 Viscount Blvd
Ste 298
El Paso, TX 79925
Phone (915) 213-0589

4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000

5959 Gateway Blvd W
Ste 120
El Paso, TX 79925

10211 Alameda Ave
Socorro, TX 79927
Phone (915) 440-4400

Interoperability endpoints

  • Direct secure messaging: ruben.roncallo@direct.myhealthep.org
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1851318737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 VISCOUNT BLVD STE 298",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255607",
            "telephone_number": "915-200-2694",
            "fax_number": "915-521-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NORTH MESA",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-532-9000",
            "fax_number": "915-532-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCALLO",
        "first_name": "RUBEN",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K9162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS BORDER PEDIATRICS",
            "identifier": "154900802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101868104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHSCN",
            "identifier": "101868105",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nancy.Gutierrez@umcelpaso.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4500 North Mesa",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.