Organization Active NPI

Hector Granados MD PA

  • Pediatric Endocrinology Physician
  • El Paso, TX
National Provider Identifier
1902379670
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
HECTOR GRANADOS MD PA
Practice address
12220 RC Poe Rd Ste a
El Paso, TX 79938-4921
Phone
(915) 642-9444
NPI assigned
Jan 5, 2019
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Hector Granados, MDNPI 1154616068
Title
President
Phone
(915) 642-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Pediatric Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0205X Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

12220 RC Poe Rd Ste a
El Paso, TX 79938-4921

Mailing address

12220 RC Poe Rd Ste a
El Paso, TX 79938-4921
Phone (915) 642-9444

Other practice location 1

1201 N Mesa St Ste G
El Paso, TX 79902-4000
Phone (915) 642-9444

Other practice location 2

9001 Cashew Dr Ste 100
El Paso, TX 79907-1865
Phone (915) 642-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190219001290 TX Part B Supplier - Clinic/Group Practice 4082952932 Receives reassigned benefits from 5 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2228320Hector Granados MD PA9001 Cashew Dr Ste 100, El Paso, TX 79907Certificate of waiverJun 23, 2027
45D2315956Hector Granados, MD1201 N Mesa St Suite G, El Paso, TX 79902Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory

Locations

12220 Rc Poe Rd
El Paso, TX 79938
Phone (915) 642-7004

1201 E Schuster Ave
Bldg 4
El Paso, TX 79902
Phone (915) 642-9444

9001 Cashew Dr
Ste 100
El Paso, TX 79907
Phone (915) 642-9444

9001 Cashew Dr
El Paso, TX 79907
Phone (915) 562-1999

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1902379670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 RC POE RD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384921",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 RC POE RD STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384921",
            "telephone_number": "915-642-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Mesa St Ste G",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024000",
            "country_code": "US",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 Cashew Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799071865",
            "country_code": "US",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HECTOR GRANADOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-642-9444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 3, 2025; 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.