Individual provider Active NPI

Wilma Bausas, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1851362610
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9623 Issued in TX
Practice address
721 S Ochoa St
El Paso, TX 79901-2935
Phone
(915) 545-7079
Fax
(915) 545-7075
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 J9623 TX Primary

Addresses

Primary practice location

721 S Ochoa St
El Paso, TX 79901-2935

Mailing address

721 S Ochoa St
El Paso, TX 79901-2935
Phone (915) 545-7079

Other identifiers 1

IdentifierTypeStateIssuer
046076801MedicaidTX

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
I20160201001672 TX Practitioner - Pediatric Medicine 4587968219 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar la Fe, Inc. CurrentSince Dec 23, 2015 Accepting new patients
Centro de Salud Familiar la Fe, Inc Pediatrics CurrentSince Dec 23, 2015 Accepting new patients

Locations

1314 E Yandell Dr
El Paso, TX 79902

700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550

721 S Ochoa St
El Paso, TX 79901
Phone (915) 545-7090

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1851362610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S OCHOA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799012935",
            "telephone_number": "915-545-7079",
            "fax_number": "915-545-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S OCHOA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799012935",
            "telephone_number": "915-545-7079",
            "fax_number": "915-545-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUSAS",
        "first_name": "WILMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046076801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.