Active NPI
Boris Kaim, MD PA
- Neurology Physician
- El Paso, TX
National Provider Identifier
1063591675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E6448
- Legal business name
- BORIS KAIM, MD PA
- Practice address
- 2311 N Mesa St Ste F
El Paso, TX 79902-3575 - Phone
- (915) 544-6400
- Fax
- (915) 544-2836
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Boris Kaim, M.D.
- Title
- President
- Phone
- (915) 544-6400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | E6448 | TX | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | |||
| Physician Assistant | 363A00000X | TEMPORARY | TX |
Addresses
Primary practice location
2311 N Mesa St Ste F
El Paso, TX 79902-3575
Mailing address
2311 N Mesa St Ste F
El Paso, TX 79902-3575
Phone (915) 444-6400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326054164 | Other | TX | DR. INDIVIDUAL NPI NUMBER |
| 085590001 | Medicaid | TX | |
| 136626206 | Medicaid | TX | |
| 81Z601 | Other | TX | BC/BS TX PROVIDER NUMBER |
Other names 1
- Texas Neurodiagnostic Headache & Sleep disorder Center, PA
National Provider Directory
National Provider DirectoryLocations
1701 N Lee Trevino Dr
Ste A
El Paso, TX 79936
Phone (915) 262-4664
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- El Paso, TX
- NPI 1326054164
-
- Neurology Physician
- El Paso, TX
- NPI 1023091477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389571200000",
"number": "1063591675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 N MESA ST STE F",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023575",
"telephone_number": "915-444-6400",
"fax_number": "915-544-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 N MESA ST STE F",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023575",
"telephone_number": "915-544-6400",
"fax_number": "915-544-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORIS KAIM, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2014-01-13",
"status": "A",
"authorized_official_last_name": "KAIM",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-544-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "E6448",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "TEMPORARY",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. INDIVIDUAL NPI NUMBER",
"identifier": "1326054164",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085590001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136626206",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS TX PROVIDER NUMBER",
"identifier": "81Z601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Neurodiagnostic Headache & Sleep disorder Center, PA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.