Kingsway Medical Center PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

KINGSWAY MEDICAL CENTER PLLC

Practice address

8623 N Loop Dr Ste a
El Paso, TX 79907-4520

Phone

(915) 881-4155

NPI assigned

Jul 26, 2012

Last updated

Apr 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adekunle Adedeji, M.D.NPI 1902086937

Title

Owner/Provider

Phone

(210) 601-2367

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, NM3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10509/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adekunle Adedayo Adedeji, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1902086937

  NM

  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Chavez, RD, LD

  • Registered Dietitian
  • El Paso, TX
  • NPI 1871203836

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Katherine Marie Aranda, FNP-BC

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1447964655
  Medicare reassignment NPD
• Bianca Alicia Jaclyn Pease, FNP-BC

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1316630239
  Medicare reassignment NPD
• Lucia Claudia Fisher, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1134885031
  NPD
• Jacqueline Osorio Romero, APRN-CNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1285399790
  NPD
• Anna Niomi Mendez-Guzman

  • Family Nurse Practitioner
  • Denton, TX
  • NPI 1043717697
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1851647911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 N LOOP DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074520",
            "telephone_number": "915-881-4155",
            "fax_number": "915-881-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N LOOP DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074520",
            "telephone_number": "915-881-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "ADEDEJI",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "210-601-2367",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3416",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058117-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinective Fitness Club LLC
• Dominic Ryan King-Salopek
• Barry G King, MD
• Clinton Allen King, MD
• David Benjamin King
• Kinino PLLC
• Tammy Kinson, LCSW
• Christopher K Kipkoech
• Raymond Alan Kirby, LVN
• Anna Nichole Kirchoff, FNP- C

• Geriatric Medicine (Family Medicine) Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.