Active NPI
Mitchell J. Farrell, MD
- Emergency Medical Services (Emergency Medicine) Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- F9411
- Practice address
- 1400 George Dieter Dr
#100
El Paso, TX 79936-7601 - Phone
- (915) 857-4559
- NPI assigned
- Jun 10, 2006
- Last updated
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F9411 | TX | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | F9411 | TX | Primary |
Addresses
Primary practice location
1400 George Dieter Dr
#100
El Paso, TX 79936-7601
Mailing address
1400 George Dieter Dr Ste 100
El Paso, TX 79936-7601
Phone (915) 921-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M5220 | Other | TX | BC/BS OF TEXAS |
| 114664904 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Paso Therapy Services, Inc.
Practice addresses (Care Compare)
1523 N Zaragoza Rd
El Paso, TX 79936-7906
Phone (915) 857-4559
6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F9411 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Urgent Care Center PA | Current | Accepting new patients | |
| Emergency Care Providers PA | Emergency Medicine | Past | Accepting new patients |
| Mitchell J Farrell MD PA | Emergency Medical Services | Past | Accepting new patients |
| Team Physicians of Arizona PC | Emergency Medicine | Past | Accepting new patients |
Locations
1400 George Dieter Dr
Ste 100
El Paso, TX 79936
Phone (915) 247-3150
1523 N Zaragoza Rd
El Paso, TX 79936
Phone (915) 857-4559
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- El Paso, TX
- NPI 1235155375
-
dba Emergency Medicine Resources
- Emergency Medical Services (Emergency Medicine) Physician
- El Paso, TX
- NPI 1548286651
-
dba El Paso Physical Therapy Services
- Physical Therapist
- El Paso, TX
- NPI 1821619115
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1033363700
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1710915764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1932140613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 GEORGE DIETER DR STE 100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367601",
"telephone_number": "915-921-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GEORGE DIETER DR",
"address_2": "#100",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367601",
"telephone_number": "915-857-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "MITCHELL",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F9411",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "F9411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "8M5220",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114664904",
"state": "TX"
}
],
"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 Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.