Individual provider Active NPI

Jaime A. Midez, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1972674786
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4354 Issued in TX
Practice address
2300 McKinley Ave
El Paso, TX 79930-2240
Phone
(915) 562-3444
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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 J4354 TX Primary

Addresses

Primary practice location

2300 McKinley Ave
El Paso, TX 79930-2240

Mailing address

124 W Castellano Dr Ste 201
El Paso, TX 79912-6139
Phone (915) 490-0647

Other practice location 1

935 Sunland Park Dr Ste 103
El Paso, TX 79922-1369
Phone (915) 444-8536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4354TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Drip, LLC CurrentSince Oct 19, 2020 Accepting new patients
Elite Cardiology Group PA PastSince Jun 11, 2013 Accepting new patients

Locations

935 Sunland Park Dr
Ste 103
El Paso, TX 79922
Phone (915) 444-8536

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1972674786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W CASTELLANO DR STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126139",
            "telephone_number": "915-490-0647",
            "fax_number": "915-261-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MCKINLEY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302240",
            "telephone_number": "915-562-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Sunland Park Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799221369",
            "country_code": "US",
            "telephone_number": "915-444-8536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDEZ",
        "first_name": "JAIME",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.