Individual provider Active NPI

Alan Lee Carpenter, D.O.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1972563286
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H5697 Issued in TX
Practice address
121 E Redd Rd
El Paso, TX 79932-1981
Phone
(915) 584-8882
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 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 H5697 TX Primary

Addresses

Primary practice location

121 E Redd Rd
El Paso, TX 79932-1981

Mailing address

121 E Redd Rd
El Paso, TX 79932-1981
Phone (915) 584-8882

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
I20050112001040 TX Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Other (Physician) 0941259378 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5697TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Urgent Care Center Internal Medicine CurrentSince Sep 25, 2006 Accepting new patients
Upper Valley Wellness Clinic, PA Current Accepting new patients

Locations

121 E Redd Rd
El Paso, TX 79932
Phone (915) 584-8822

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
26.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.69

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1972563286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321981",
            "telephone_number": "915-584-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321981",
            "telephone_number": "915-584-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.