Individual provider Active NPI

Augustine O Eleje, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • El Paso, TX
National Provider Identifier
1902843030
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
L1567 Issued in TX
Practice address
1700 N Oregon St
Suite 780
El Paso, TX 79902-3584
Phone
(915) 533-8225
Fax
(866) 823-8302
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1567 TX
Adolescent Medicine (Internal Medicine) Physician 207RA0000X L1567 TX Primary

Addresses

Primary practice location

1700 N Oregon St
Suite 780
El Paso, TX 79902-3584

Mailing address

1700 N Oregon St
Suite 780
El Paso, TX 79902-3584
Phone (915) 533-8225

Other identifiers 1

IdentifierTypeStateIssuer
L1567OtherTXPHYSICIAN LICENSE

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
I20061020000270 TX Practitioner - Internal Medicine 7719913912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 N Oregon
Suite 780
El Paso, TX 79902-3557

1700 N Oregon
Suite 780
El Paso, TX 79902-3584

1700 N Oregon St
Suite 780
El Paso, TX 79902-3557
Phone (915) 533-8797

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Augustine O. Eleje, MD, PA Internal Medicine CurrentSince Jun 15, 2006 Accepting new patients
Emergency Associates of the North Ward, P.a. Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Reach Healthcare Allied Services LLC Past Accepting new patients

Locations

1700 N Oregon St
Ste 780
El Paso, TX 79902
Phone (915) 532-9599

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFBACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFBACA/Endpoint/BFBACA

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1902843030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 780",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-533-8225",
            "fax_number": "866-823-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 780",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-533-8225",
            "fax_number": "866-823-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEJE",
        "first_name": "AUGUSTINE",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1567",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "L1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "L1567",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.