Individual provider Active NPI

Sean Michael Sylvia, PA-C

  • Medical Physician Assistant
  • Fort Bliss, TX
National Provider Identifier
1003215062
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
11335 SSG Sims St
Mendoza Soldier and Family Care Center
Fort Bliss, TX 79916
Phone
(915) 742-1628
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

11335 SSG Sims St
Mendoza Soldier and Family Care Center
Fort Bliss, TX 79916

Mailing address

11335 SSG Sims St
Mendoza Soldier and Family Care Center
Fort Bliss, TX 79916
Phone (915) 742-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170104000627 NM Practitioner - Physician Assistant 0941581045 Reassigns benefits to 3 organizations
I20220707000097 TX Practitioner - Physician Assistant 0941581045 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Apr 11, 2020 Accepting new patients
Nes Arizona Inc CurrentSince Jul 1, 2023 Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/7ebf128e-74ea-47fd-b43e-48c09f6cfb4c
  • Direct secure messaging: ssylvia173306@direct.phs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1003215062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ST",
            "address_2": "MENDOZA SOLDIER AND FAMILY CARE CENTER",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ST",
            "address_2": "MENDOZA SOLDIER AND FAMILY CARE CENTER",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-742-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVIA",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

Verify at the official NPI Registry.