Individual provider Active NPI

Eddie Richard Nassar, M.D,

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1053495267
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L5482 Issued in TX
Practice address
5000 Doniphan
Suite 104
El Paso, TX 79932
Phone
(915) 881-4225
Fax
(915) 881-4197
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L5482 TX Primary

Addresses

Primary practice location

5000 Doniphan
Suite 104
El Paso, TX 79932

Mailing address

5000 Doniphan
Suite 104
El Paso, TX 79932
Phone (915) 881-4225

Other identifiers 1

IdentifierTypeStateIssuer
L5482OtherTXPHYSICIAN PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5482TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Canales M.D. P.a. Pediatrics PastSince Oct 12, 2025 Accepting new patients
Eddie Nassar MD PA Pediatrics Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1053495267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN",
            "address_2": "SUITE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79932",
            "telephone_number": "915-881-4225",
            "fax_number": "915-881-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN",
            "address_2": "SUITE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79932",
            "telephone_number": "915-881-4225",
            "fax_number": "915-881-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "EDDIE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L5482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "L5482",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.