NPIMap

Individual provider Active NPI

Mark M Landeros, M.D.

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1902857006
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K7571 Issued in TX
Practice address
1700 Curie Dr
Ste 1500
El Paso, TX 79902-2905
Phone
(915) 543-9600
Fax
(915) 543-9700
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K7571 TX Primary

Addresses

Primary practice location

1700 Curie Dr
Ste 1500
El Paso, TX 79902-2905

Mailing address

1700 Curie Dr
Ste 1500
El Paso, TX 79902-2905
Phone (915) 543-9600

Other identifiers 2

IdentifierTypeStateIssuer
008791K0OtherTXBCBS
096604601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000582 TX Practitioner - Surgical OncologyPractitioner - General Surgery 6709902174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1390 George Dieter Dr
Suite 110
El Paso, TX 79936-7423
Phone (915) 271-4640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy24
Melanoma (skin cancer) excision11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 4, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 4, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

300 Waymore Dr
El Paso, TX 79902
Phone (915) 577-2600

1390 George Dieter Dr
Ste 110
El Paso, TX 79936
Phone (915) 271-4640

1201 E Schuster Ave
Ste 5B
El Paso, TX 79902
Phone (915) 544-3229

1700 Murchison Dr
El Paso, TX 79902
Phone (915) 534-1124

1700 Curie Dr
Ste 1500
El Paso, TX 79902
Phone (915) 532-4542

125 W Hague Rd
Ste 570
El Paso, TX 79902
Phone (915) 541-1156

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: mark.landeros.1@1438.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1902857006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "STE 1500",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-543-9600",
            "fax_number": "915-543-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "STE 1500",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-543-9600",
            "fax_number": "915-543-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDEROS",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K7571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "008791K0",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096604601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.