Individual provider Active NPI

Manuel J Palafox, DO

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1952301137
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L6136 Issued in TX
Practice address
1387 George Dieter Dr BLDG B
El Paso, TX 79936-7410
Phone
(915) 275-0224
Fax
(915) 275-0225
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L6136 TX Primary

Addresses

Primary practice location

1387 George Dieter Dr BLDG B
El Paso, TX 79936-7410

Mailing address

1387 George Dieter Dr BLDG B
El Paso, TX 79936-7410
Phone (915) 275-0224

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
I20040727001014 TX Practitioner - Internal Medicine 0941270235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1387 George Dieter Dr
El Paso, TX 79936-7410
Phone (915) 275-0224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6136TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jul 30, 2019 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jul 30, 2019 Accepting new patients
Family Medicine of West Texas PLLC CurrentSince Jan 2, 2015 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Dec 31, 2023 Accepting new patients

Locations

7236 N Mesa St
El Paso, TX 79912
Phone (915) 581-6405

1387 George Dieter Dr
El Paso, TX 79936
Phone (915) 275-0224

1387 George Dieter Dr
Bldg B
El Paso, TX 79936
Phone (915) 275-0224

4445 N Mesa St
Ste 122
El Paso, TX 79902

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: manuel.palafox@wellmed.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1952301137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-275-0224",
            "fax_number": "915-275-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-275-0224",
            "fax_number": "915-275-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAFOX",
        "first_name": "MANUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L6136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.