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PROVIDENCE IMAGING CONSULTANTS, P.A.
NPI 1659469344
Radiology - Diagnostic Radiology in El Paso, TX

Active since October 10, 2006CLIA Certified · 3 labs
2001 N OREGON ST, EL PASO, TX 79902(915) 577-6011 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Providence Imaging Consultants, P.a. NPPES

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

PROVIDENCE IMAGING CONSULTANTS, P.A. (NPI 1659469344) is a healthcare organization registered as a diagnostic radiology in El Paso, Texas and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Kiron Master, Md, as its authorized official.

NPPES Registry Identity

NPI1659469344
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePROVIDENCE IMAGING CONSULTANTS, P.A.
Location Address2001 N OREGON STEl Paso, TX 79902-3320
Mailing AddressPo Box 2030Lowell, AR 72745-2030 · (915) 577-6702
Phone(915) 577-6011
Organization SubpartNo
Authorized OfficialKiron MasterMd · (915) 577-6702
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 17, 2016
✔ NPI 1659469344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
2001 N OREGON ST, El Paso, TX 79902
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Other Identifiers 3

Medicaid112577501TX
Medicare PIN00A40WTX
Medicare UPIN00A40WTX

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 ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0927180

Providence Memorial Hosp-Nursing Administration · El Paso, TX
Active · expires Apr 10, 2027
CLIA Number45D0927180
Laboratory TypeHospital
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorRodolfo Laucirica
Laboratory Phone(915) 577-8000
Laboratory LocationProvidence Memorial Hosp-Nursing Administration2001 North Oregon Street, El Paso, TX 79902
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0664138

Providence Memorial Hospital-Lab · El Paso, TX
Active · expires Jan 2, 2027
CLIA Number45D0664138
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Rodolfo Laucirica
Laboratory Phone(915) 577-7300
Laboratory LocationProvidence Memorial Hospital-Lab2001 North Oregon Street, El Paso, TX 79902
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D0682345

Providence Hospital Respiratory Care Dept · El Paso, TX
Active · expires Jan 2, 2027
CLIA Number45D0682345
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Emilio Gonzalez-Ayala
Laboratory Phone(915) 577-6992
Laboratory LocationProvidence Hospital Respiratory Care Dept2001 North Oregon, El Paso, TX 79902
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D2001200

Providence Memorial Hospital · El Paso, TX
Expired · Dec 14, 2025
CLIA Number45D2001200
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 15, 2023
Certificate Expiration DateDecember 14, 2025
Laboratory DirectorRosa Polanco
Laboratory Phone(915) 577-7102
Laboratory LocationProvidence Memorial Hospital2001 N Oregon St, El Paso, TX 79902
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. RICHARD COHEN MD
Radiology (Diagnostic Radiology)
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 833-6631
DR. GARY STEPHEN RAPP MD
Radiology (Diagnostic Radiology)
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 833-6631
DR. KENNETH C. OGUEJIOFOR MD
Emergency Medicine
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 577-6011
DR. DAVID M. TRANTHAM MD
Emergency Medicine
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 577-6011
DR. JUAN A. MONTELONGO MD
Emergency Medicine
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 577-6011
DR. PAUL WILFRED L. MALLETT MD
Emergency Medicine
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 577-6011
MS. PATRICIA DOLORES HALL MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 577-6011
MRS. EDNA L. ALVARADO RD.LD.
Dietitian, Registered
2001 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 577-6782

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 Providence Imaging Consultants, P.A.'s NPI number?

The NPI number for Providence Imaging Consultants, P.A. is 1659469344. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Providence Imaging Consultants, P.A. located?

Providence Imaging Consultants, P.A. is located at 2001 N Oregon St, El Paso, TX 79902. The listed phone number is (915) 577-6011.

What is Providence Imaging Consultants, P.A.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Providence Imaging Consultants, P.A. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Providence Imaging Consultants, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Providence Imaging Consultants, P.A. 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 Providence Imaging Consultants, P.A. was last updated on October 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.