RAFAEL MEDRANO M.D.
NPI 1043210792
Internal Medicine - Cardiovascular Disease in El Paso, TX

Q: What is Rafael Medrano's NPI number?

The NPI number for Rafael Medrano is 1043210792. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: Where is Rafael Medrano located?

Rafael Medrano practices at 4301 N Mesa St Ste 101, El Paso, TX 79902. The listed phone number is (915) 542-2352.

Q: What is Rafael Medrano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: Is Rafael Medrano enrolled in Medicare?

Yes. Rafael Medrano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Q: What insurance does Rafael Medrano accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Rafael Medrano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Q: Is Rafael Medrano affiliated with any hospitals?

According to CMS data, Rafael Medrano is affiliated with The Hospitals Of Providence - Memorial Campus, Las Palmas Medical Center A Campus Of Lpds Healthc and Sierra Medical Center.

Q: When was this NPI record last updated?

The NPPES record for Rafael Medrano was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4301 N MESA ST, STE 101, EL PASO, TX 79902(915) 542-2352(915) 593-8559 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Rafael Medrano M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL MEDRANO M.D. (NPI 1043210792) is an individual cardiovascular disease provider in El Paso, Texas, licensed in Texas (H3914) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and is a graduate of Baylor College Of Medicine (1987).

NPPES Registry Identity

NPI1043210792

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameRAFAEL MEDRANOCredential: M.D.

Location Address4301 N MESA ST, STE 101El Paso, TX 79902-1121

Mailing Address7814 Gateway Blvd EEl Paso, TX 79915-1815 · (915) 542-2352 · Fax (915) 593-8559

Phone(915) 542-2352

Fax(915) 593-8559

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1987

Enumeration DateJuly 22, 2005

Last NPPES UpdateJanuary 27, 2022

✔ NPI 1043210792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · H3914

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License H3914 (TX)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License H3914 (TX)

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License H3914 (TX)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License H3914 (TX)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License H3914 (TX)

4301 N MESA ST, El Paso, TX 79902

Open in Google Maps ↗

Other Identifiers 3

Other1043210792TX · Npi

Medicaid106013901TX

Other88T972TX · Bx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Medrano M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42294522

PECOS Enrollment IDI20040614000832

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

214 services167 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

139 services138 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

115 services109 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services78 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

62 services62 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

60 services59 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

59 services59 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

43 services43 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

40 services40 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

34 services33 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

31 services31 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

25 services25 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

21 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services14 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

17 services12 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450002

Location2001 N Oregon StEl Paso, TX 79902 · El Paso County

Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450107

Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County

Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450668

Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

94.18

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

70%1,188 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

100%32 patients5/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

96%4,295 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

59%1,716 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%2,178 patients2/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%1,181 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,784 patients

Patients totalRate: 0% · 1,784 patients

0%1,784 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDIAC CATH LAB OF EL PASO LP

Specialist

4301 N MESA ST, SUITE 104
EL PASO, TX 79902

El Paso County (915) 407-7900

DR. CARLOS FRANCO M.D.

Internal Medicine (Cardiovascular Disease)

4301 N MESA ST, STE 101
EL PASO, TX 79902

El Paso County (915) 542-2352

LUIS GARZA-ARREOLA MD

Internal Medicine (Cardiovascular Disease)

4301 N MESA ST, STE 101
EL PASO, TX 79902

El Paso County (915) 542-2352

DR. DAVID JAY DOBRIN M.D.

Internal Medicine (Cardiovascular Disease)

4301 N MESA ST, SUITE 100
EL PASO, TX 79902

El Paso County (915) 532-6767

DR. VIPOOL R. PATEL M.D.

Internal Medicine (Interventional Cardiology)

4301 N MESA ST, SUITE 100
EL PASO, TX 79902

El Paso County (915) 532-6767

DR. MOHAMMAD LAIQ RAJA MD

Internal Medicine (Interventional Cardiology)

4301 N MESA ST, SUITE 100
EL PASO, TX 79902

El Paso County (915) 532-6767

YVETTE VASQUEZ AGACNP-BC

Nurse Practitioner (Acute Care)

4301 N MESA ST
EL PASO, TX 79902

El Paso County (915) 532-6767

DR. MICHAEL THOMAS TRAYLOR MD

Internal Medicine (Cardiovascular Disease)

4301 N MESA ST, SUITE 100
EL PASO, TX 79902

El Paso County (915) 532-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Medrano's NPI number?

The NPI number for Rafael Medrano is 1043210792. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Rafael Medrano located?

Rafael Medrano practices at 4301 N Mesa St Ste 101, El Paso, TX 79902. The listed phone number is (915) 542-2352.

What is Rafael Medrano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rafael Medrano enrolled in Medicare?

Yes. Rafael Medrano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Medrano accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Rafael Medrano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafael Medrano affiliated with any hospitals?

According to CMS data, Rafael Medrano is affiliated with The Hospitals Of Providence - Memorial Campus, Las Palmas Medical Center A Campus Of Lpds Healthc and Sierra Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Medrano was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.