DR. RUBEN RAFAEL RONCALLO MD
NPI 1851318737
Pediatrics in El Paso, TX

Active since July 16, 2006PECOS Enrolled
4500 NORTH MESA, EL PASO, TX 79912(915) 532-9000(915) 532-9006 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ruben Rafael Roncallo Md NPPES

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

DR. RUBEN RAFAEL RONCALLO MD (NPI 1851318737) is an individual pediatrics provider in El Paso, Texas, licensed in Texas (K9162) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851318737
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RUBEN RAFAEL RONCALLOCredential: MD
Location Address4500 NORTH MESAEl Paso, TX 79912
Mailing Address7500 Viscount Blvd Ste 298El Paso, TX 79925-5607 · (915) 200-2694 · Fax (915) 521-2278
Fax(915) 532-9006
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1851318737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K9162
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.
4500 NORTH MESA, El Paso, TX 79912

Other Identifiers 3

Other154900802TX · Thsteps Border Pediatrics
Medicaid101868104TX
Other101868105TX · Chscn

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruben Rafael Roncallo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ruben Roncallo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
10410 VISTA DEL SOL DR
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79912 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.

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 Ruben Roncallo's NPI number?

The NPI number for Ruben Roncallo is 1851318737. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Ruben Roncallo located?

Ruben Roncallo practices at 4500 North Mesa, El Paso, TX 79912. The listed phone number is (915) 532-9000.

What is Ruben Roncallo's specialty?

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

Is Ruben Roncallo enrolled in Medicare?

Yes. Ruben Roncallo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ruben Roncallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruben Roncallo reassigns Medicare benefits to Umc El Paso Healthcare Inc (El Paso, TX). The 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 Ruben Roncallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruben Roncallo 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 and 2 other insurers list Ruben Roncallo 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 Ruben Roncallo was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.