Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eliael Medina, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740863216

Eliael Medina, MD is an Emergency Medicine in El Paso, Texas. Qualified in 2020, 6 years ago. Practices with St Marys Medical Center, a 101-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4801 Alberta Ave
El Paso, TX 79905-2707
Phone: (915) 215-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 77695 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740863216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address4801 Alberta Ave, El Paso, TX 79905-2707

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Marys Medical Center — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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