Individual provider Active NPI

Carlos R Del Coro Amengual, MD

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1942227384
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q4936 Issued in TX
Practice address
5407 N Mesa St Ste 101
El Paso, TX 79912-5468
Phone
(915) 533-1789
Fax
(915) 533-7234
NPI assigned
Jul 15, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15167 PR
Surgery Physician 208600000X Q4936 TX Primary

Addresses

Primary practice location

5407 N Mesa St Ste 101
El Paso, TX 79912-5468

Mailing address

PO Box 13330
El Paso, TX 79913-3330
Phone (915) 533-1789

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
I20151106000561 TX Practitioner - General Surgery 6507884806 Reassigns benefits to 1 organization
Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Access Care of El Paso PLLCGroup PAC ID 9739588641, 2 clinicians

Practice addresses (Care Compare)

1601 N Brown St
El Paso, TX 79902-4724
Phone (915) 533-1789

5407 N Mesa St
Suite 100
El Paso, TX 79912-5468
Phone (915) 533-1789

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4936TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Access Care of El Paso PLLC CurrentSince Jun 1, 2021 Accepting new patients
Hector Diaz Luna MD PA Surgery CurrentSince Jul 9, 2023 Accepting new patients
Fresenius Vascular Care El Paso ASC LLC PastSince Mar 1, 2023 Accepting new patients
Transplant Society Surgery PastSince Jun 8, 2013 Accepting new patients

Locations

1601 Brown St
El Paso, TX 79902
Phone (915) 533-1789

5407 N Mesa St
El Paso, TX 79912
Phone (915) 845-3223

5407 N Mesa St
Ste 100
El Paso, TX 79912
Phone (915) 533-1789

5407 N Mesa St
Ste 101
El Paso, TX 79912
Phone (915) 533-1789

Interoperability endpoints

  • Direct secure messaging: carlos.delcoroamengual.p190@direct.aac.nextgenshare.com
  • Direct secure messaging: carlos.delcoroamengual.p194@direct.aac.nextgenshare.com
  • Direct secure messaging: rafael.delcoro@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1942227384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13330",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799133330",
            "telephone_number": "915-533-1789",
            "fax_number": "915-533-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 N MESA ST STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125468",
            "telephone_number": "915-533-1789",
            "fax_number": "915-533-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CORO AMENGUAL",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "15167",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q4936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.