DR. ANTONIO IV DE LA ROSA (MD) – Obstetrics & Gynecology Physician, NPI 1053318931

DR. ANTONIO IV DE LA ROSA (MD) is a healthcare provider. based in El paso, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. L5299 (TX). The NPI Number for DR. ANTONIO IV DE LA ROSA (MD) is 1053318931

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTONIO IV DE LA ROSA (MD)
NPI
1053318931
Phone
(915) 271-4600
Address
3270 JOE BATTLE BLVD
Enumeration Date
7 July 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9155951212
Graduation Year
2000 (26 years ago)
PAC ID
5092787473
Group Practice PAC ID
7315019593
Professional Enrollment ID
I20040809000458
Address ID
TX799382639EL3270XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,187 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. ANTONIO IV DE LA ROSA (MD)

  • 3270, Joe Battle Boulevard, El Paso, El Paso County, Texas, 79936, United States

    STE 275

    EL PASO, TX 799382639

    Phone: (915) 271-4600

    Fax: (915) 271-4601

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Ethicon US, LLC ($125).

Total Amount

$206

General + Research + Ownership

Payments

4

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040809000458IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 79938)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315019593View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANTONIO IV DE LA ROSA (MD)?
NPI 1053318931 is assigned to DR. ANTONIO IV DE LA ROSA (MD) under the national enumeration system.
Is DR. ANTONIO IV DE LA ROSA (MD)'s NPI currently valid?
The extract we use shows DR. ANTONIO IV DE LA ROSA (MD) as active.
What kind of provider is DR. ANTONIO IV DE LA ROSA (MD)?
The page reflects Obstetrics & Gynecology Physician for DR. ANTONIO IV DE LA ROSA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ANTONIO IV DE LA ROSA (MD)?
The page summarizes El Paso, Texas for DR. ANTONIO IV DE LA ROSA (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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