Individual provider Active NPI

Luis A. Todd, LUIS A. TODD, M.D.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1952478232
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J0700 Issued in TX
Practice address
12371 Edgemere Blvd Ste 207
El Paso, TX 79938-4878
Phone
(915) 856-0008
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J0700 TX
Pediatrics Physician 208000000X J0700 TX Primary

Addresses

Primary practice location

12371 Edgemere Blvd Ste 207
El Paso, TX 79938-4878

Mailing address

5628 Eagle Point St
El Paso, TX 79912-6426
Phone (915) 345-2749

Other practice location 1

12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260504008137 CA Practitioner - Pediatric Medicine 1557782828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2171 Junipero Serra Blvd
Suite 260
Daly City, CA 94014-1906

2171 Junipero Serra Blvd
Suite 260
Daly City, CA 94014-1986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0700TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Organizations & group practices 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670630400000",
    "number": "1952478232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 EAGLE POINT ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126426",
            "telephone_number": "915-345-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 EDGEMERE BLVD STE 207",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384878",
            "telephone_number": "915-856-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12377 Merit Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513126",
            "country_code": "US",
            "telephone_number": "972-957-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "LUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "LUIS A. TODD, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J0700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.