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CARMEN AIDA PRIETO-JIMENEZ M.D.
NPI 1528175064
Pediatrics in El Paso, TX

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
4801 ALBERTA AVE., EL PASO, TX 79905(915) 545-6817(915) 545-9799 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2023, Oct 23, 2019 (2 updates tracked since 2019).

About Carmen Aida Prieto-jimenez M.d. NPPES

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

CARMEN AIDA PRIETO-JIMENEZ M.D. (NPI 1528175064) is an individual pediatrics provider in El Paso, Texas, licensed in Texas (L1972) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1528175064
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARMEN AIDA PRIETO-JIMENEZCredential: M.D.
Location Address4801 ALBERTA AVE.El Paso, TX 79905
Mailing Address5130 Gateway Blvd E # 51015El Paso, TX 79905-1608 · (915) 215-4480 · Fax (915) 215-5386
Phone(915) 545-6817
Fax(915) 545-9799
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 23, 2006
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1528175064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L1972
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4801 ALBERTA AVE., El Paso, TX 79905
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Other Identifiers 2

Medicaid144675901TX
Other89616XTX · Bc/bs Of Texas

Accepted Insurance

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

Carmen Aida Prieto-jimenez 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 ID8921050865
PECOS Enrollment IDI20050218000285
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.

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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Pediatrics
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-7579
ARMANDO D. MEZA M.D.
Internal Medicine (Infectious Disease)
4801 ALBERTA AVE., 4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6647
VAISHNAVI SABESAN M.D.,
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 215-8000
AZIKIWE C. NWOSU M.D.
Internal Medicine (Nephrology)
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-6647
MANUEL RIVERA M.D.
Internal Medicine (Pulmonary Disease)
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-6647
LINDA R. CANADA CNM
Advanced Practice Midwife
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-7501
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Orthopaedic Surgery
4801 ALBERTA AVE., 230C
EL PASO, TX 79905
El Paso County (915) 545-6664
SUSAN F. MCLEAN M.D.
Surgery (Surgical Critical Care)
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-7507

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 Carmen Prieto-jimenez's NPI number?

The NPI number for Carmen Prieto-jimenez is 1528175064. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Carmen Prieto-jimenez located?

Carmen Prieto-jimenez practices at 4801 Alberta Ave., El Paso, TX 79905. The listed phone number is (915) 545-6817.

What is Carmen Prieto-jimenez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carmen Prieto-jimenez enrolled in Medicare?

Yes. Carmen Prieto-jimenez 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 Carmen Prieto-jimenez accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare and WellPoint list Carmen Prieto-jimenez 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.

When was this NPI record last updated?

The NPPES record for Carmen Prieto-jimenez was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.