Individual provider Active NPI

Maria Gloria Famatigan, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1992702773
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L5730 Issued in TX
Practice address
7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone
(915) 584-0051
Fax
(915) 833-1114
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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 L5730 TX Primary

Addresses

Primary practice location

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519

Mailing address

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone (915) 584-0051

Other identifiers 4

IdentifierTypeStateIssuer
310174YLPSOtherTXWELLMED PTAN
156741404MedicaidTX
1567414-01MedicaidTX
45628777OtherNMMEDICAID - NEW MEXICO

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
I20100609000868 TX Practitioner - Internal Medicine 9234185364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

7430 Remcon Cir
BLDG a
El Paso, TX 79912-3519
Phone (915) 581-0357

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Nov 18, 2013 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Nov 18, 2013 Accepting new patients
Guadalupe Medical Clinic, PLLC Internal Medicine PastSince Dec 1, 2002 Accepting new patients

Locations

7430 Remcon Cir
Bldg A
El Paso, TX 79912
Phone (915) 231-2285

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: maria.famatigan@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1992702773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051",
            "fax_number": "915-833-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051",
            "fax_number": "915-833-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMATIGAN",
        "first_name": "MARIA",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "310174YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156741404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567414-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - NEW MEXICO",
            "identifier": "45628777",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.