Individual provider Active NPI

Manuel Borrego, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1962510578
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3476 Issued in TX
Practice address
3101 Forney LN
El Paso, TX 79935-1607
Phone
(915) 317-6033
Fax
(915) 595-2231
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M3476 TX Primary

Addresses

Primary practice location

3101 Forney LN
El Paso, TX 79935-1607

Mailing address

3101 Forney LN
El Paso, TX 79935-1607
Phone (915) 317-6033

Other identifiers 3

IdentifierTypeStateIssuer
N0146239OtherTXDPS
M3476OtherTXMEDICAL LICENSE
MD2005-0204OtherNMMEDICAL LICENSE

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
I20070213000326 TX Practitioner - Family Practice 6103828686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1810 McRae Blvd
Suite a
El Paso, TX 79925-6706
Phone (915) 288-3802

2600 Idalia Ave
El Paso, TX 79930-2015
Phone (915) 317-6033

3101 Forney LN
El Paso, TX 79935-1607
Phone (915) 317-6033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3476TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Walk-in Clinic, PA Family Medicine CurrentSince Jun 1, 2006 Accepting new patients

Locations

2600 Idalia Ave
El Paso, TX 79930
Phone (915) 317-6033

1810 McRae Blvd
#A
El Paso, TX 79925
Phone (915) 288-3802

7806 West Dr
El Paso, TX 79915
Phone (915) 317-1288

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962510578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 FORNEY LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351607",
            "telephone_number": "915-317-6033",
            "fax_number": "915-595-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 FORNEY LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351607",
            "telephone_number": "915-317-6033",
            "fax_number": "915-595-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO",
        "first_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "N0146239",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M3476",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD2005-0204",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.