NPIMap

Individual provider Active NPI

Paola Bustillos, MD

  • Urology Physician
  • El Paso, TX
National Provider Identifier
1922599778
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
U2164 Issued in TX
Practice address
3100 N Lee Trevino Dr Ste G
El Paso, TX 79936-2116
Phone
(915) 592-7400
NPI assigned
May 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 U2164 TX Primary

Addresses

Primary practice location

3100 N Lee Trevino Dr Ste G
El Paso, TX 79936-2116

Mailing address

3100 N Lee Trevino Dr Ste G
El Paso, TX 79936-2116
Phone (915) 592-7400

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
I20230602000142 TX Practitioner - Urology 6204293475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

3100 N Lee Trevino Dr
Suite G
El Paso, TX 79936-2116
Phone (915) 592-7400

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

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 Aug 1, 2023 Accepting new patients
Rio Grande Urology PA Past Accepting new patients

Locations

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

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

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

3100 N Lee Trevino Dr
Ste G
El Paso, TX 79936
Phone (915) 225-2456

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

Interoperability endpoints

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

Organizations & group practices 2

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 8

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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1922599778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N LEE TREVINO DR STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362116",
            "telephone_number": "915-592-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N LEE TREVINO DR STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362116",
            "telephone_number": "915-592-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTILLOS",
        "first_name": "PAOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "U2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.