RAUL HUMBERTO LOYA JR. M.D.
NPI 1821400789
Radiology - Diagnostic Radiology in El Paso, TX

Q: What is Raul Loya's NPI number?

The NPI number for Raul Loya is 1821400789. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Q: What is Raul Loya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raul Loya was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 27, 2014PECOS EnrolledAccepts Medicare Assignment

83.13/100

CMS Quality Rating

7377 GULF CREEK DR, EL PASO, TX 79911(915) 637-2953 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Raul Humberto Loya Jr. M.d. NPPES

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

RAUL HUMBERTO LOYA JR. M.D. (NPI 1821400789) is an individual diagnostic radiology provider in El Paso, Texas, licensed in Texas (S6439) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821400789

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameRAUL HUMBERTO LOYA JR.Credential: M.D.

Location Address7377 GULF CREEK DREl Paso, TX 79911-3035

Mailing Address7377 Gulf Creek DrEl Paso, TX 79911-3035 · (915) 637-2953

Phone(915) 637-2953

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 27, 2014

Last NPPES UpdateJanuary 27, 2021

NPPES CertifiedDecember 8, 2020

✔ NPI 1821400789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · S6439

Definition

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

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7377 GULF CREEK DR, El Paso, TX 79911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raul Humberto Loya Jr. 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 ID8325267479

PECOS Enrollment IDI20210414001928

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.

Medicare Billing Reassignments

Medicare enrollment records show Raul Loya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Imaging Associates Of New Mexico LLC

220 mi

Diagnostic Radiology

601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102

Reassigned Medicare billing, Texas enrollment
103 clinicians in this Medicare group

NPI 1629592464 (505) 727-8000

Sonoran Radiology Ltd

326 mi

Vascular & Interventional Radiology

1400 S DOBSON RD
Mesa, AZ 85202

Reassigned Medicare billing, Texas enrollment
145 clinicians in this Medicare group

NPI 1033745708 (623) 299-8743

Singleton Associates PA

669 mi

Diagnostic Radiology

9250 PINECROFT DR
Shenandoah, TX 77380

Reassigned Medicare billing, Texas enrollment
1,278 clinicians in this Medicare group

NPI 1487811766 (936) 266-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

153 services153 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

153 services153 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

106 services102 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

80 services80 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

48 services45 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

45 services45 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

43 services42 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

40 services40 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

36 services36 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

34 services33 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

27 services27 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

26 services26 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

25 services25 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

21 services20 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

21 services20 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

20 services20 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

19 services19 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

17 services17 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

17 services17 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

11 services11 patients

Ultrasound of abdomen and pelvis artery and vein blood flow 93976

An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670047

Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County

Emergency services Birthing friendly

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number670120

Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79911 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.

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.

83.13/100

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

Scored as part of a group practice

Quality

80.16

Improvement Activities

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 Raul Loya's NPI number?

The NPI number for Raul Loya is 1821400789. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Raul Loya located?

Raul Loya practices at 7377 Gulf Creek Dr, El Paso, TX 79911. The listed phone number is (915) 637-2953.

What is Raul Loya's specialty?

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

Is Raul Loya enrolled in Medicare?

Yes. Raul Loya 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.

Which organizations bill Medicare for Raul Loya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Loya reassigns Medicare benefits to 3 organizations: Imaging Associates Of New Mexico LLC (Albuquerque, NM), Sonoran Radiology Ltd (Mesa, AZ) and Singleton Associates PA (Shenandoah, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Loya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Loya accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Sendero Health Plans, Local Nonprofit list Raul Loya 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 Raul Loya affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Raul Loya was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.