JONATHAN ALDRETE (MD) – Student in an Organized Health Care Education/Training Program, NPI 1164000733

JONATHAN ALDRETE (MD) is a healthcare provider. based in El paso, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. The NPI Number for JONATHAN ALDRETE (MD) is 1164000733

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN ALDRETE (MD)
NPI
1164000733
Phone
(915) 595-9000
Address
10301 GATEWAY BLVD W
Enumeration Date
1 April 2021
Last Update Date
1 April 2021

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9157597700
Graduation Year
2021 (5 years ago)
PAC ID
6305245424
Group Practice PAC ID
2668468398
Professional Enrollment ID
I20250722004398
Address ID
TX799041947EL8820XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for JONATHAN ALDRETE (MD)

  • 10301 GATEWAY BLVD W

    EL PASO, TX 799257701

    Phone: (915) 595-9000

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-22

PECOS data refreshed: 2026-05-27

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
I20250722004398IDermatologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79925)

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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: 2668468398View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YCO
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantNM
-TX
Physician AssistantTX

Reviews

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Frequently asked questions

Does JONATHAN ALDRETE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JONATHAN ALDRETE (MD) uses 1164000733.
Is JONATHAN ALDRETE (MD) still practicing?
JONATHAN ALDRETE (MD) is currently listed as active in the public NPI registry.
What healthcare role does JONATHAN ALDRETE (MD) hold?
Scheduling teams often label JONATHAN ALDRETE (MD) under Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN ALDRETE (MD) on a map?
Expect El Paso, Texas as a primary anchor for JONATHAN ALDRETE (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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