Individual provider Active NPI

Juan Manuel Taveras, M.D.

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1932109683
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J8393 Issued in TX
Practice address
4301 N Mesa St
Ste 101
El Paso, TX 79902-1121
Phone
(915) 542-2352
Fax
(915) 593-8559
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8393 TX
Interventional Cardiology Physician 207RI0011X J8393 TX
Nuclear Cardiology Physician 207UN0901X J8393 TX
Body Imaging Physician 2085B0100X J8393 TX
Diagnostic Radiology Physician 2085R0202X J8393 TX
Vascular & Interventional Radiology Physician 2085R0204X J8393 TX
Cardiovascular Disease Physician 207RC0000X J8393 TX Primary

Addresses

Primary practice location

4301 N Mesa St
Ste 101
El Paso, TX 79902-1121

Mailing address

7814 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 542-2352

Other identifiers 2

IdentifierTypeStateIssuer
88T973OtherTXBX
105634302MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUAN.TAVERAS@hca8.eclinicaldirectplus.com

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
I20090702000368 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971568130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Palmas del Sol Cardiology, PLLCGroup PAC ID 2769608348, 16 clinicians

Practice addresses (Care Compare)

7814 Gateway Blvd E B
Cardiovascular Imaging Center
El Paso, TX 79915-1815
Phone (915) 595-9200

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • 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 individual
Quality
98.22
Improvement activities
40
Cost
83.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair11
Varicose vein removal13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8393TXMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Palmas del Sol Cardiology, PLLC Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients
Tenet Hospitals Limited Cardiovascular Disease CurrentSince May 6, 2014 Accepting new patients
Tenet Hospitals Limited CurrentSince May 6, 2014 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10640 Gateway Blvd N
Ste B
El Paso, TX 79924
Phone (915) 507-4631

9999 Kenworthy St
Ste B
El Paso, TX 79924
Phone (915) 542-2352

7814 Gateway Blvd E
El Paso, TX 79915
Phone (915) 542-2352

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

7814 Gateway Blvd E
#B
El Paso, TX 79915
Phone (915) 595-9200

1801 N Oregon St
#C
El Paso, TX 79902
Phone (915) 521-1200

2001 N Oregon St
#M
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

4301 N Mesa St
Ste 104
El Paso, TX 79902
Phone (915) 407-7900

4301 N Mesa St
Ste 101
El Paso, TX 79902
Phone (915) 542-2352

Interoperability endpoints

  • Direct secure messaging: 2399-taveras-juanm@direct.leadingreach.com
  • Direct secure messaging: juan.taveras@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 4477-taveras-juan@direct.leadingreach.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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1932109683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151815",
            "telephone_number": "915-542-2352",
            "fax_number": "915-593-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST",
            "address_2": "STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021121",
            "telephone_number": "915-542-2352",
            "fax_number": "915-593-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8393",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J8393",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "J8393",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "J8393",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J8393",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "J8393",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J8393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX",
            "identifier": "88T973",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105634302",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUAN.TAVERAS@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4301 N Mesa St",
            "address_2": "STE 101",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799021121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.