INJURY MEDICAL CLINIC PA
NPI 1972794147
General Practice in El Paso, TX

Active since August 05, 2007
11860 VISTA DEL SOL DR # 128, EL PASO, TX 79936(915) 413-6677(866) 574-1351 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Injury Medical Clinic Pa NPPES

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

INJURY MEDICAL CLINIC PA (NPI 1972794147) is a healthcare organization registered as a general practice in El Paso, Texas and active in the NPI registry since August 2007. The organization lists Alexander David Jimenez, President/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1972794147
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINJURY MEDICAL CLINIC PA
Location Address11860 VISTA DEL SOL DR # 128El Paso, TX 79936-6128
Mailing Address11860 Vista Del Sol Dr # 128El Paso, TX 79936-6128 · (915) 413-6677 · Fax (866) 574-1351
Fax(866) 574-1351
Organization SubpartNo
Authorized OfficialAlexander David JimenezPresident/chiropractor · (915) 412-6677
Enumeration DateAugust 5, 2007
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1972794147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X · License DC5807 (TX)
11860 VISTA DEL SOL DR # 128, El Paso, TX 79936

Other Identifiers 1

Other8C0040TX · Bcbs Provider #

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Injury Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20120529000095Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Injury Medical Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1205907805
11860 VISTA DEL SOL SUITE 128
El Paso, TX 79936
(915) 412-6677
✔ PECOS0.2 mi

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

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 Injury Medical Clinic PA's NPI number?

The NPI number for Injury Medical Clinic PA is 1972794147. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Injury Medical Clinic PA located?

Injury Medical Clinic PA is located at 11860 Vista Del Sol Dr # 128, El Paso, TX 79936. The listed phone number is (915) 413-6677.

What is Injury Medical Clinic PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Injury Medical Clinic PA enrolled in Medicare?

Yes. Injury Medical Clinic PA is registered in the Medicare PECOS enrollment system.

When is Injury Medical Clinic PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Injury Medical Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Injury Medical Clinic PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Injury Medical Clinic PA was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.