Individual provider Active NPI

Blas Alberto Miranda, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1962577098
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4884 Issued in TX
Practice address
8269 North Loop Road
El Paso, TX 79907-4234
Phone
(915) 591-1615
Fax
(915) 591-2875
NPI assigned
Nov 22, 2006
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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 M4884 TX Primary

Addresses

Primary practice location

8269 North Loop Road
El Paso, TX 79907-4234

Mailing address

8269 North Loop Road
El Paso, TX 79907-4234
Phone (915) 591-1615

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
I20070223000601 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 5193827020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

8269 N Loop Dr
Candelaria Medical Center
El Paso, TX 79907-4234
Phone (915) 591-1615

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4884TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luz a. Candelaria,D.O.P.a.,Dba/Candelaria Medical Center CurrentSince Mar 11, 2007 Accepting new patients
El Paso County Hospital District CurrentSince Aug 22, 2024 Accepting new patients
El Paso County Hospital District CurrentSince Aug 22, 2024 Accepting new patients
El Paso Oncology and Internal Medicine, P.a Internal Medicine CurrentSince Oct 1, 1991 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

2022 Murchison Dr
Ste 100
El Paso, TX 79902
Phone (915) 533-5388

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

5620 Gateway Blvd E
El Paso, TX 79905
Phone (915) 255-9317

8269 N Loop Dr
El Paso, TX 79907
Phone (915) 590-2800

8269 N Loop Dr
#C
El Paso, TX 79907
Phone (915) 591-1615

Interoperability endpoints

  • Direct secure messaging: blas.miranda.1@17088.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1962577098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 NORTH LOOP ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-591-1615",
            "fax_number": "915-591-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 NORTH LOOP ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-591-1615",
            "fax_number": "915-591-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "BLAS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.