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DR. DOUGLAS CROMACK M.D.
NPI 1528047875
Orthopaedic Surgery - Hand Surgery in El Paso, TX

Active since January 14, 2006PECOS EnrolledAccepts Medicare Assignment
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5400(915) 215-8632 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2025, Feb 29, 2016 (2 updates tracked since 2016).

About Dr. Douglas Cromack M.d. NPPES

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

DR. DOUGLAS CROMACK M.D. (NPI 1528047875) is an individual hand surgery provider in El Paso, Texas, licensed in Texas (J9650) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1528047875
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. DOUGLAS CROMACKCredential: M.D.
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 450-9000
Phone(915) 215-5400
Fax(915) 215-8632
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 14, 2006
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1528047875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in TX · J9650
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedEmergency MedicineTaxonomy 207P00000X · License J9650 (TX)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License J9650 (TX)
Also ListedPlastic SurgeryTaxonomy 208200000X · License J9650 (TX)
Also ListedSurgeryTaxonomy 208600000X · License J9650 (TX)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License J9650 (TX)
4801 ALBERTA AVE, El Paso, TX 79905
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Other Identifiers 1

Medicaid139013023TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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

Dr. Douglas Cromack 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 ID9931146768
PECOS Enrollment IDI20050413000887
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.

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
DR. AMRO ALI YASSIN-AWAD MD
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4625
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600

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 Douglas Cromack's NPI number?

The NPI number for Douglas Cromack is 1528047875. It was assigned to this individual provider in the NPPES registry on January 14, 2006.

Where is Douglas Cromack located?

Douglas Cromack practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-5400.

What is Douglas Cromack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Douglas Cromack enrolled in Medicare?

Yes. Douglas Cromack 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 Douglas Cromack accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and UnitedHealthcare list Douglas Cromack 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 Douglas Cromack affiliated with any hospitals?

According to CMS data, Douglas Cromack is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Douglas Cromack was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.