Active NPI
Ruben Rafael Roncallo, MD
- Pediatrics Physician
- El Paso, TX
National Provider Identifier
1851318737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K9162
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154900802 | Other | TX | THSTEPS BORDER PEDIATRICS |
| 101868104 | Medicaid | TX | |
| 101868105 | Other | TX | CHSCN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umc El Paso Healthcare Inc | Pediatrics | Current | 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
- ruben.roncallo@direct.myhealthep.org
- 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.
-
- Children's Hospital
- El Paso, TX
- NPI 1558659714
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
- Gastroenterology Physician
- El Paso, TX
- NPI 1629060090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.