Individual provider Active NPI

James M. Eidel, MD

  • Anesthesiology Physician
  • Bishop, CA
National Provider Identifier
1063488757
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G202421 Issued in CA
Practice address
150 Pioneer LN
Bishop, CA 93514-2556
Phone
(760) 873-5811
Fax
(760) 872-5843
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 99-39 NM
Anesthesiology Physician 207L00000X G202421 CA Primary

Addresses

Primary practice location

150 Pioneer LN
Bishop, CA 93514-2556

Mailing address

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811

Other practice location 1

205 W. Boutz Rd. Bldg #1
Las Cruces, NM 88005
Phone (575) 532-7000

Other identifiers 3

IdentifierTypeStateIssuer
Z4898MedicaidNM
050067169OtherRR MEDICARE
NM009D28OtherNMBCBS OF NM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100623000173 NM Practitioner - Anesthesiology 9133107410 Reassigns benefits to 1 organization
I20180807000842 TX Practitioner - Anesthesiology 9133107410 Reassigns benefits to 3 organizations
I20250516001200 CA Practitioner - Anesthesiology 9133107410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians

Practice addresses (Care Compare)

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G202421CAMDAnesthesiology Physician
99-39NMMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jul 1, 2018 Accepting new patients
Northern Inyo Healthcare District CurrentSince Jun 1, 2025 Accepting new patients
Texas Ams PLLC Anesthesiology CurrentSince Jun 20, 2022 Accepting new patients
Northern Inyo Healthcare District Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Jul 1, 2018 Accepting new patients
El Paso Ams, PLLC Anesthesiology CurrentSince Sep 10, 2022 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569

820 E Redd Rd
Bldg C
El Paso, TX 79912
Phone (915) 352-2100

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1063488757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PIONEER LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142556",
            "telephone_number": "760-873-5811",
            "fax_number": "760-872-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PIONEER LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142556",
            "telephone_number": "760-873-5811",
            "fax_number": "760-872-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W. Boutz Rd. Bldg #1",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88005",
            "country_code": "US",
            "telephone_number": "575-532-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIDEL",
        "first_name": "JAMES",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "99-39",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G202421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z4898",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050067169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM009D28",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.