Individual provider Active NPI

Mitchell J. Farrell, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • El Paso, TX
National Provider Identifier
1932140613
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
F9411 Issued in TX
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8M5220OtherTXBC/BS OF TEXAS
114664904MedicaidTX

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
I20070522000667 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0244142016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Urgent Care Center PAGroup PAC ID 3274877154, 7 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

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

LicenseStateTypeSpecialty
F9411TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Urgent Care Center PA CurrentSince Oct 15, 2018 Accepting new patients
Emergency Care Providers PA Emergency Medicine Past Accepting new patients
Mitchell J Farrell MD PA Emergency Medical Services PastSince Jan 1, 1997 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.

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

Verify at the official NPI Registry.