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El PasoWelcome to Blue Choice PPOSMUse this directory to find the doctors, health care professionals and hospitals that participate in the Blue ChoicePPO network. The Blue Choice PPO participating providers are listed by category. This directory also includesinformation to help you manage your health care and use your benefits wisely.This directory consists of El Paso county.For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-5212227 or you can go online to Provider Finder at www.bcbstx.com for the most up-to-date list of Blue Choice PPOparticipating doctors and hospitals.Using This Directory to Find a Blue Choice PPOSM Participating ProviderEach time you or a covered family member needs medical care, use this directory to find Blue Choice PPOparticipating providers, such as: Doctors for routine and preventive care (check the listings for Primary Care Providers) Hospitals Specialists or other health care providersPrimary Care Providers are available for most routine and preventive care, while specialists generallypractice only in the fields where they’re listed in this directory.To provide corrections or updates to the provider information in this directory (such as the provider’s contractstatus or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227(Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time).MORE INFORMATION IS JUST A CLICK AWAYWe continue to update the Blue Choice PPOSM provider directory as changes occur. New doctorsand providers contract to be in the network, others may change their office addresses and someleave the network. For the most up-to-date information, check Provider Finder at www.bcbstx.comwhere you can find the doctor's, hospital's or other health care provider's address and phonenumber that you can send directly to your phone. In addition, there are maps for Primary CareProviders, specialists and hospitals to help locate them. Also, you can find the practice limitations,languages spoken, gender, professional affiliations and whether new patients are accepted. Ifyou’re already a member and you’d rather speak with someone, call Customer Service at 1-800521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time).IF YOU’RE THINKING ABOUT ENROLLINGIf you’re considering a health plan that uses the Blue Choice PPOSM network, read the followinginstructions to learn more about getting care from Blue Choice PPO participating doctors andproviders. Then review the directory to find Blue Choice PPO participating providers in your area.Chances are the doctors and hospitals you want to use are in the network.A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,an Independent Licensee of the Blue Cross and Blue Shield Association11
Helping You Keep Healthy and Control CostsWe offer coverage for preventive care services that can help you keep healthy and identify health problems at anearly stage. Preventive care benefits include coverage for services such as physical exams, well-woman examsand immunizations.When you become a member, we give you information and tools at www.bcbstx.com to help you manage yourhealth and control costs. Get the latest in health information and tools through the Blue Access for Members link.Improve your overall health, learn how to manage a chronic health condition or prepare for a specific medicalprocedure with easy-to-use health and wellness information, tips, quizzes and tools.Behavioral Health ServicesParticipating behavioral health and chemical dependency professionals and physicians are also listed in thisdirectory. However, before seeing a behavioral health professional or physician, you must prior authorize yourcare by calling 1-800-528-7264. Blue Cross and Blue Shield prior authorizes services and helps you select aparticipating behavioral health professional or physician.Coverage Outside of TexasIf you're out of state and need care, you and your covered family members can receive covered care almostanywhere in the country from Blue Cross and Blue Shield participating doctors and hospitals through theBlueCard Program.To find a list of participating doctors and hospitals in the BlueCard program within the United States and aroundthe world, go to the BlueCard Doctor and Hospital Finder at www.bcbs.com. If you are a member, you also cancall our dedicated BlueCard line at 1-800-810-BLUE (2583) and speak with a BlueCard customer servicerepresentative.What to Do in an EmergencyIn an emergency, call 911 or seek help from any doctor or hospital immediately. You’re covered no matter whereyou go. You, your doctor, the hospital or a family member must then call Blue Cross and Blue Shield of Texas atthe number on your member ID card during the first 48 hours of the emergency visit.To arrange for emergency behavioral health services and precertify behavioral health inpatient hospital treatment,call 1-800-528-7264. Blue Cross and Blue Shield of Texas is available 24 hours a day, seven days a week.YOUR COVERAGE DEPENDS ON YOUR SPECIFIC PLANCoverage for specific services will depend on your health care benefit program.Be sure to read your benefit booklet for detailed information about your healthcare benefit plan.CONTROLLING COSTSBlue Cross and Blue Shield of Texas works to keep your doctor and hospitalcosts as low as possible. Our network representatives continue to build strongrelationships with doctors and hospitals across the state, while negotiating thebest rates possible for our members.22
Network Selection Criteria for Doctors and HospitalsNetwork Selection Criteria for DoctorsBlue Cross and Blue Shield of Texas (BCBSTX) may use quality measures, member experience measures or costrelated measures to select providers for participation in the Blue Choice PPOSM, Blue High PerformanceSM,Blue EssentialsSM and Blue Essentials AccessSM, Blue Advantage HMOSM, Blue Advantage PlusSM HMO, BlueCross Medicare Advantage (PPO)SM, Blue Cross Medicare Advantage (HMO)SM, Blue PremierSM, Blue PremierAccessSM and MyBlue HealthSM Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentialsand Blue Essentials Access, Blue Advantage HMO, Blue Advantage Plus HMO, Blue Cross MedicareAdvantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier, Blue Premier Access and MyBlueHealth networks and takes into consideration the geographic distribution of medical and behavioral healthproviders to ensure that BCBSTX members have access to participating providers within federal and stateavailability and accessibility standards.BCBSTX ensures that our provider network includes primary care providers, behavioral health practitionersand specialists that treat the highest volume conditions to meet our members' needs, including Cardiology,Endocrinology, OB/GYN, Oncology and Orthopedics among others.The behavioral health specialty types available in these BCBSTX networks include, Psychiatry (includingPsychiatry, Child Adolescent Psychiatry and Geriatric Psychiatry), Clinical Psychology, Licensed Clinical SocialWorker, Licensed Counselor (including Licensed Professional Clinical Counselor and Licensed Marriage andFamily Therapist).Network Selection Criteria for HospitalsBlue Cross and Blue Shield of Texas (BCBSTX) may use quality measures, member experience measures orcost-related measures to select hospitals for participation in the Blue Choice PPO, Blue High Performance,Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue CrossMedicare Advantage (HMO), Blue Premier, Blue Premier Access and MyBlue Health Marketplace plans.BCBSTX evaluates the Blue Choice PPO, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, BlueCross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier, Blue PremierAccess and MyBlue Health networks and takes into consideration the geographic distribution of hospitals toensure that BCBSTX members have access to participating hospitals within federal and state availability andaccessibility standards.TX Physician ExtendersPrimary Care Provider or PCP means the participating Physician, Provider, Physician Assistantor Advanced Practice Registered Nurse who primarily provides your health care. A PCP may be afamily practitioner, internist, pediatrician, and/or Obstetrician/Gynecologist. The PA or APN must workunder the supervision of a Participating family practitioner, internist, pediatrician and/orObstetrician/Gynecologist in the same PPO network.Providers Joining the Network or LocationThe dates located under the provider’s information indicate that the provider will be joining the network and/orlocation soon. Services provided may not be covered until the provider is active.Providers Leaving the Network or LocationThe dates located under the provider’s information indicate that the provider will be leaving the network and/orlocation soon. Services provided after departure will be out-of- network.33
Medical/Surgical Hospitals.5Medical/Surgical hospitals are sorted alphabetically by city and nameHospital Based Providers .6-8Facility-based Physicians.9-98Hospital admissions may include services rendered by an anesthesiologist, pathologist, radiologist,emergency medicine physician or neonatologist. Blue Cross and Blue Shield of Texas makes everyeffort to contract with hospital based physicians that routinely provide services at BlueChoice networkfacilities.The information provided is being made available to assist you in deciding which facility hascontracted hospital based physicians in an effort to minimize any out-of-pocket expenses you mayincur. Your out-of-pocket expenses will be greater if you utilize anesthesiologists, pathologists,radiologists, emergency medicine physicians and/or neonatologists that do not participate in theBlueChoice network.To confirm the hospital you may choose includes anesthesiologists, pathologists, radiologists,emergency medicine physicians and neonatologists that participate in the BlueChoice network, referto this section.Ancillaries . 99-103Acquired brain injury, ambulatory surgical centers, cardiac catheter labs, clinical & anatomicallaboratories, diabetes disease management, durable medical equipment, hearing aid suppliers, homehealth, home infusion therapy, hospice, imaging centers, prosthetics, orthotics & pedorthists, radiationtherapy centers, renal dialysis facilities, retail health clinics, skilled nursing facilities, sleep studycenters, subacute facilities, and urgent care centers sorted alphabetically by facility type, city andnameFreestanding Outpatient Facilities . 104A Freestanding Outpatient Facility offers services diagnostic or surgical services in a non-hospitalbased setting.Primary Care Practitioners. 105-141Primary care practitioners are sorted alphabetically by city, specialty and nameSpecialists . 142-383Specialists are sorted alphabetically by city, specialty and nameSupervised and Sponsored Providers .384-397Physician assistants, advanced practitioner nurses, certified nurse midwives and other supervisedand sponsored providers are sorted alphabetically by city, specialty and nameBehavioral Health Facilities. 398Behavioral Health Facilities are sorted alphabetically by city and nameBehavioral Health Practitioners . 399-444Behavioral Health Practitioners are sorted alphabetically by city, specialty and namePractice Information Appendix . 445-449Practice Information is sorted numericallyIndex of Participating Providers . 450-471Primary care practitioners, specialists, behavioral health practitioners and supervised and sponsoredproviders are sorted alphabetically by last name4
08/18/2021Medical/Surgical HospitalsEL PASOYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.EL PASOCobalt RehabilitationHospital El PasoNPI: 10538392331600 E Cliff Dr(915) 975-8630Del Sol Camp LpdshNPI: 177053612010301 Gateway Blvd W(915) 595-9000ER Physicians:Facility uses in-network andout-of-network ER physiciansDel Sol Rehabilitation UnitNPI: 168962959410301 Gateway Blvd W(915) 595-9000Del Sol Rehabilitation UnitNPI: 177053612010301 Gateway West(915) 595-9000El Paso Childrens HospitalNPI: 15586597144845 Alameda Avenue(915) 298-5444ER Physicians:Facility uses in-network andout-of-network ER physiciansEl Paso LTAC HospitalNPI: 11948901031221 N Cotton St 3rd Floor(915) 496-9687Emergence Health NetworkNPI: 17700093341551 Montana(915) 887-3410Emergence Health NetworkNPI: 17700093341551 Montana Ave(915) 887-3410Foundation SurgicalHospital of El PasoNPI: 1487659884 1416 George Dieter(915) 598-4240ER Physicians:Facility uses in-network andout-of-network ER physiciansHighlands RehabilitationHospitalNPI: 1740693316 1395 George Dieter Dr(915) 298-7222 Kindred Hospital El PasoNPI: 1013993559 1740 Curie Drive(915) 351-9044Las Palmas Camp LpdshNPI: 1770536120 1801 N Oregon St(915) 521-1200ER Physicians:Facility uses in-network andout-of-network ER physiciansLas Palmas RehabilitationHospitalNPI: 1942253398 300 Waymore(915) 577-2600Rio Vista Behavioral HealthNPI: 13467248791390 Northwestern Dr(915) 493-8564The Hospitals ofProvidence East CampusNPI: 19727099703280 Joe Battle Blvd(915) 832-2000ER Physicians:Facility uses in-network andout-of-network ER physiciansThe Hospitals ofProvidence EmergencyRoom MoNPI: 18418434551890 George Dieter Dr(915) 225-7100ER Physicians:Facility uses in-network andout-of-network ER physiciansThe Hospitals ofProvidence MemorialCampusNPI: 1700801909 2001 N Oregon Street(915) 577-6011ER Physicians:Facility uses in-network andout-of-network ER physiciansThe Hospitals ofProvidence NorthNPI: 186199480811274 McCombs St(915) 242-2400ER Physicians:Facility uses in-network andout-of-network ER physiciansThe Hospitals ofProvidence Sierra CampusNPI: 1215969787 1625 Medical Center Drive(915) 747-4000ER Physicians:Facility uses in-network andout-of-network ER physiciansThe Hospitals ofProvidence TransmountainCamNPI: 15385224122000 Transmountain Rd(915) 577-8467ER Physicians:Facility uses in-network andout-of-network ER physiciansUniversity Medical Centerof El PasoNPI: 1316936990 4815 Alameda Avenue(915) 544-1200ER Physicians:Facility uses in-network andout-of-network ER physiciansHORIZON CITYThe Hospitals ofProvidence HorizNPI: 100334433413600 Horizon BlvdSte 100(915) 407-7878ER Physicians:Facility uses in-network andout-of-network ER physiciansThis Location is Handicap Accessible.5
%OXH&KRLFH 332эCurrent as of July 2021El Paso Texas Hospital Based PhysiciansCounties:El PasoThis grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists,Radiologists, Emergency Room and Neonatologists Physicians/GroupsCityHospital /Facility NameSpecialty% DollarsBilled Out OfNetwork *Anesthesiology50%Network StatusProvidersIN NETWORKEL PASO AMS PLLCWEST STAR ANESTHESIA SERVICES PAOUT OF NETWORK ANESTHESIA MGMT SOLUTIONS OF TEXAS** DEL SOLCAMP LPDSHEL PASOCHILDRENSHOSPITALEL PASOEmergency Room99%OUT OF NETWORKEMERGENCY SERVICES OF TEXAS PANeonatology0%IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXASPathology0%IN NETWORKRadiology0%IN NETWORKAnesthesiology0%IN NETWORKEmergency Room5%IN NETWORKNeonatology0%IN NETWORKPathology4%IN NETWORKDESERT PATHOLOGY SERVICES PARIO GRANDE PATHOLOGY SERVICES PARADADVANTAGE A PROFESSIONAL CORPRADADVANTAGE TEXAS PASINGLETON ASSOCIATES PATEXAS TECH UNIV HLTH SCI CENTER ELPASOLONGHORN EMERGENCY MEDICALASSOCIATESTEXAS TECH UNIV HLTH SCI CENTER ELPASOEL PASO CHILDRENS PHYSICIAN GROUPRadiology0%IN NETWORKEL PASO IMAGING CONSULTANTS PLLCAnesthesiology36%IN NETWORKTEXAS AMS PLLC13%IN NETWORKPATRIOT EMERGENCY PHYSICIANSFOUNDATION Emergency RoomSURGICALNeonatologyHOSPITAL OF ELPathologyPASORadiologyAnesthesiologySERVICE NOT AVAILABLE0%IN NETWORKRIO GRANDE PATHOLOGY SERVICES PA0%IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PAIN NETWORKEL PASO AMS PLLCWEST STAR ANESTHESIA SERVICES PA50%OUT OF NETWORK ANESTHESIA MGMT SOLUTIONS OF TEXASLAS PALMASCAMP LPDSHEmergency Room99%OUT OF NETWORKEMERGENCY SERVICES OF TEXAS PANeonatology0%IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXASPathology0%IN NETWORKRadiology0%IN NETWORKDESERT PATHOLOGY SERVICES PARIO GRANDE PATHOLOGY SERVICES PARADADVANTAGE A PROFESSIONAL CORP* % of Total Dollar Amount Billed 4/1/2020 - 3/31/2021** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groupsshown may not be practicing at the specific physical location. Please contact the hospital to confirm.Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company,an Independent Licensee of the Blue Cross and Blue Shield Association6
%OXH&KRLFH 332эCurrent as of July 2021El Paso Texas Hospital Based PhysiciansCounties:El PasoThis grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists,Radiologists, Emergency Room and Neonatologists Physicians/GroupsCityHospital /Facility NameSpecialty% DollarsBilled Out OfNetwork *Network StatusProvidersLAS PALMASCAMP LPDSHRadiology0%IN NETWORKRADADVANTAGE TEXAS PASINGLETON ASSOCIATES PAAnesthesiology0%IN NETWORKEmergency Room79%IN NETWORKNeonatology0%IN NETWORKBHS PHYSICIANS NETWORK INCBLUFF CREEK EMERGENCY MEDICINEASSOCIATESPEDIATRIX MEDICAL GROUP OF TEXASPathology27%IN NETWORKPATHOLOGY ASSOCIATES OF EL PASOOUT OF NETWORKPATHLINK OF TEXAS PLLCRadiology0%IN NETWORKSINGLETON ASSOCIATES PAIN NETWORKSERVICE NOT AVAILABLEPEARSALL EMERGENCY MEDICALASSOCIATESSERVICE NOT AVAILABLEIN NETWORKPATHOLOGY ASSOCIATES OF EL PASOOUT OF NETWORKPATHLINK OF TEXAS PLLCTHE HOSPITALSOF PROVIDENCEEAST CAMPUSAnesthesiologyEL PASO** THEHOSPITALS OFPROVIDENCEEMERGENCYROOMMONTWOODTHE HOSPITALSOF PROVIDENCEMEMORIALCAMPUSEmergency Room77%NeonatologyPathology18%Radiology0%IN NETWORKM&S RADIOLOGY ASSOCIATES PAAnesthesiology1%IN NETWORKEmergency Room73%IN NETWORKNeonatology0%IN NETWORKBHS PHYSICIANS NETWORK INCBLUFF CREEK EMERGENCY MEDICINEASSOCIATESPEDIATRIX MEDICAL GROUP OF TEXASPathology28%IN NETWORKPATHOLOGY ASSOCIATES OF EL PASOOUT OF NETWORKPATHLINK OF TEXAS PLLCRadiology0%IN NETWORKSINGLETON ASSOCIATES PAIN NETWORKSERVICE NOT AVAILABLEPEARSALL EMERGENCY MEDICALASSOCIATESSERVICE NOT AVAILABLEIN NETWORKPATHOLOGY ASSOCIATES OF EL PASOOUT OF NETWORKPATHLINK OF TEXAS PLLCIN NETWORKM&S RADIOLOGY ASSOCIATES PAAnesthesiologyEmergency RoomTHE HOSPITALSOF 0%* % of Total Dollar Amount Billed 4/1/2020 - 3/31/2021** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groupsshown may not be practicing at the specific physical location. Please contact the hospital to confirm.Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company,an Independent Licensee of the Blue Cross and Blue Shield Association7
%OXH&KRLFH 332эCurrent as of July 2021El Paso Texas Hospital Based PhysiciansCounties:El PasoThis grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists,Radiologists, Emergency Room and Neonatologists Physicians/GroupsCityHospital /Facility NameSpecialty% DollarsBilled Out OfNetwork *Network StatusAnesthesiology8%IN NETWORK77%IN NETWORKTHE HOSPITALS Emergency RoomOF PROVIDENCENeonatologySIERRACAMPUSPathologyEL PASO23%Radiology0%Anesthesiology28%THE HOSPITALSEmergency RoomOF PROVIDENCENeonatologyTRANSMOUNTAIN CAMPUSPathologyPATHOLOGY ASSOCIATES OF EL PASOOUT OF NETWORKPATHLINK OF TEXAS PLLCIN NETWORKSINGLETON ASSOCIATES PAIN NETWORKEL PASO AMS PLLCOUT OF NETWORK ANESTHESIA MGMT SOLUTIONS OF TEXAS3%IN NETWORKPATRIOT EMERGENCY PHYSICIANS0%IN NETWORK1%IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXASTEXAS TECH UNIV HLTH SCI CENTER ELPASOSERVICE NOT AVAILABLEAnesthesiology0%IN NETWORKANESTHESIA ASSOCIATES OF EL PASOEmergency Room4%IN NETWORKNeonatology0%IN NETWORKPathology1%IN NETWORKRadiology0%IN NETWORK77%IN NETWORKAnesthesiologyEmergency RoomHORIZON CITYTHE HOSPITALSOF PROVIDENCEHORIZBHS PHYSICIANS NETWORK INCTEXAS AMS PLLCBLUFF CREEK EMERGENCY MEDICINEASSOCIATESINSUFFICIENT CLAIMS DATAIN NETWORKRadiologyUNIVERSITYMEDICALCENTER OF EP AMERICA LLCTEXAS TECH UNIV HLTH SCI CENTER ELPASOPEDIATRIX MEDICAL GROUP OF TEXASTEXAS TECH UNIV HLTH SCI CENTER ELPASOTEXAS TECH UNIV HLTH SCI CENTER ELPASOTEXAS TECH UNIV HLTH SCI CENTER ELPASOSERVICE NOT AVAILABLEPEARSALL EMERGENCY MEDICALASSOCIATESSERVICE NOT AVAILABLEIN NETWORKPATHOLOGY ASSOCIATES OF EL PASOOUT OF NETWORKPATHLINK OF TEXAS PLLCIN NETWORKM&S RADIOLOGY ASSOCIATES PA* % of Total Dollar Amount Billed 4/1/2020 - 3/31/2021** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groupsshown may not be practicing at the specific physical location. Please contact the hospital to confirm.Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company,an Independent Licensee of the Blue Cross and Blue Shield Association8
08/18/2021Facility-based PhysiciansEL PASOYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.DEL SOL CAMPLPDSHANESTHESIOLOGYAnderson, James S MDGender: MaleNPI: 124522892341801 N Oregon StEl Paso, TX 79902(915) 779-171642930 N Stanton StEl Paso, TX 79902(915) 271-4569410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716Becker, Philip A MDGender: MaleNPI: 189178346045959 Gateway Blvd WSte 120El Paso, TX 79925(915) 779-1716Berdeja, Cesar E MDGender: MaleNPI: 114421856141801 N Oregon StEl Paso, TX 79902(915) 779-171641815 N Stanton StEl Paso, TX 79902(915) 533-841242000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716u4Dillow, Roberto G MDGender: MaleNPI: 133613417041801 N Oregon StEl Paso, TX 79902(915) 779-171644815 Alameda AveEl Paso, TX 79905(915) 545-6618410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716410301 Gateway WestEl Paso, TX 79925(915) 577-0111Gordon, Tracy A MDGender: MaleNPI: 194220476342000 Transmountain RdEl Paso, TX 79911(915) 577-8467Guzman, Barbara A DOGender: FemaleNPI: 188199324444815 Alameda AveEl Paso, TX 79905(915) 521-704042000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway Blvd WEl Paso, TX 79925(915) 779-1716Khan, Firdous MDGender: FemaleNPI: 179007142142930 N Stanton StEl Paso, TX 79902(915) 271-456944815 Alameda AveEl Paso, TX 79905(706) 650-070542000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway WestEl Paso, TX 79925(915) 595-9000uThis Provider May Not Be Accepting New Patients.uLim, Douglas DOGender: MaleNPI: 104328844244815 Alameda AveEl Paso, TX 79905(915) 544-120042000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway WEl Paso, TX 79925(915) 779-171645959 Gateway Blvd WSte 120El Paso, TX 79925(915) 779-1716Murillo, Tomas MDGender: MaleNPI: 104321829041801 N Oregon StEl Paso, TX 79902(915) 779-1716410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716410301 Gateway WestEl Paso, TX 79925(915) 577-0111Navejas, Elizabeth MDGender: FemaleNPI: 126576184541801 N Oregon StEl Paso, TX 79902(915) 779-171644815 Alameda AveEl Paso, TX 79905(706) 650-07054125 W Castellano DrEl Paso, TX 79912(915) 532-8200410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-171641416 George Dieter DrEl Paso, TX 79936(915) 598-4240uOkada, Ken MDGender: MaleNPI: 167956671541801 N Oregon StEl Paso, TX 79902(915) 779-171642000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716410301 Gateway WestEl Paso, TX 79925(915) 577-0111u Olivares, Robert A MDGender: MaleNPI: 173039273944815 Alameda AveEl Paso, TX 79905(360) 514-906042000 Transmountain RdEl Paso, TX 79911(915) 577-846745959 Gateway Blvd WSte 120El Paso, TX 79925(915) 779-1716u Olivares, Robert A MDGender: MaleNPI: 181198525241801 N Oregon StEl Paso, TX 79902(915) 779-171641815 N Stanton StEl Paso, TX 79902(800) 394-4445410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716Oyediran, Babatunde OMDGender: MaleNPI: 163943210744815 Alameda AveEl Paso, TX 79905(706) 650-070542000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000uBoard Certified in Listed Specialty.9
EL PASOFacility-based Physicians08/18/2021You may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.DEL SOL CAMPLPDSH (continued)ANESTHESIOLOGY(continued)Perese, Francisco MDGender: MaleNPI: 115476516242000 Transmountain RdEl Paso, TX 79911(915) 577-8467u Rivera, Emmanuel MDGender: MaleNPI: 196250873941801 N Oregon StEl Paso, TX 79902(915) 779-171642000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716410301 Gateway WestEl Paso, TX 79925(915) 595-9000Rubio, Ruby N MDGender: FemaleNPI: 168986587541801 N Oregon StEl Paso, TX 79902(915) 779-17164125 W Castellano DrEl Paso, TX 79912(915) 532-8200410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-171641416 George Dieter DrEl Paso, TX 79936(915) 598-42404Ytem, Jose B MDGender: MaleNPI: 144727285141801 N Oregon StEl Paso, TX 79902(915) 779-171642000 Transmountain RdEl Paso, TX 79911(915) 577-8467410301 Gateway Blvd WestEl Paso, TX 79925(915) 779-1716410301 Gateway WestEl Paso, TX 79925(915) 577-0111EMERGENCY MEDICINEBlandon, Pedro A MDGender: MaleNPI: 127553146941416 George Dieter DrEl Paso, TX 79936(915) 598-4240Diaz, Marco MDGender: MaleNPI: 1104015577411274 McCombs StEl Paso, TX 79934(915) 242-240041890 George Dieter DrEl Paso, TX 79936(915) 225-710041890 George Dieter DrEl Paso, TX 79936(915) 407-7878Sherwood, Kyle W MDGender: MaleNPI: 140737688241625 Medical Center DrEl Paso, TX 79902(915) 747-400041521 Joe Battle BlvdSte BEl Paso, TX 79924(951) 544-120044669 Cohen AveSte BEl Paso, TX 79924(951) 544-120041890 George Dieter DrEl Paso, TX 79936(915) 225-7100This Provider May Not Be Accepting New Patients.uWoo Telles, Argelia MDGender: FemaleNPI: 154826621642400 Trawood DriveEl Paso, TX 79936(915) 577-8100412101 Edgemere BlvdEl Paso, TX 79938(915) 921-661043280 Joe Battle BlvdEl Paso, TX 79938(915) 832-2731GENERAL SURGERYAcosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-77001521 Joe Battle BlvdEl Paso, TX 79936(915) 591-7700u Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta AveEl Paso, TX 79905(915) 545-6880u Applebaum, Bruce J MDGender: MaleNPI: 190280367910470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Bayazid, Saeb MDGender: MaleNPI: 12957217517500 N Mesa StSte 210El Paso, TX 79912(915) 307-7800uCooney, Paul D MDGender: MaleNPI: 1568656189299 Shadow MountainSte CEl Paso, TX 79912(915) 219-8265299 Shadow Mountain DrSte CEl Paso, TX 79912(915) 581-6405299 Shadow Mountain DrSte CEl Paso, TX 79912(915) 774-555510500 Vista Del Sol Ste EEl Paso, TX 79925(915) 444-8571u Familua, Oluwamayowa FMDGender: MaleNPI: 10637149707878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-1800u Landeros, Mark M MDGender: MaleNPI: 19028570061390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 543-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600u Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700Board Certified in Listed Specialty.10
08/18/2021Facility-based PhysiciansEL PASOYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.NEONATAL-PERINATALMEDICINEDEL SOL CAMPLPDSH (continued)GENERAL SURGERY(continued)Monsivais, Jose J MDGender: MaleNPI: 181199450210201 Gateway Blvd WSte 30El Paso, TX 79925(915) 590-3666u Pradhan, Kumuda R MDGender: MaleNPI: 14270536691700 N Oregon StSte 620El Paso, TX 79902(915) 504-6940u Shay, Andrew T MDGender: MaleNPI: 121516516210470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Shimunov, Sergey DOGender: MaleNPI: 17809598741250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18002000 Trans
El Paso Childrens Hospital NPI: 1558659714 4845 Alameda Avenue (915) 298-5444 ER Physicians: Facility uses in-network and out-of-network ER physicians El Paso LTAC Hospital NPI: 1194890103 1221 N Cotton St 3rd Floor (915) 496-9687 Emergence Health Network NPI: 1770009334 1551 Montana (915) 887-3410 Emergence Health Network NPI: 1770009334 1551 .
