Individual provider Active NPI

Michael Damien Bagg, M.D.

  • Urology Physician
  • El Paso, TX
National Provider Identifier
1881641967
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H7875 Issued in TX
Practice address
2201 N Stanton St
El Paso, TX 79902-3211
Phone
(915) 533-0800
Fax
(915) 533-0885
NPI assigned
May 27, 2006
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X H7875 TX Primary

Addresses

Primary practice location

2201 N Stanton St
El Paso, TX 79902-3211

Mailing address

7420 Remcon Cir Ste a
El Paso, TX 79912-3537
Phone (915) 532-8823

Other identifiers 1

IdentifierTypeStateIssuer
103957003MedicaidTX

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
I20080804000094 TX Practitioner - Urology 4183644032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas Tech University Health Science Center School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

2201 N Stanton
El Paso, TX 79902-3211
Phone (915) 533-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince May 1, 2008 Accepting new patients

Locations

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800

7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823

7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023

Interoperability endpoints

  • Direct secure messaging: michaelbagg@rgu.medalliesdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1881641967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123537",
            "telephone_number": "915-532-8823",
            "fax_number": "915-532-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023211",
            "telephone_number": "915-533-0800",
            "fax_number": "915-533-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGG",
        "first_name": "MICHAEL",
        "middle_name": "DAMIEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H7875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103957003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.