Organization Active NPI

Boris Kaim, MD PA

  • Neurology Physician
  • El Paso, TX
National Provider Identifier
1063591675
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E6448 Issued in TX
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

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Dr. Boris Kaim, M.D.NPI 1326054164
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X E6448 TX Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1326054164OtherTXDR. INDIVIDUAL NPI NUMBER
085590001MedicaidTX
136626206MedicaidTX
81Z601OtherTXBC/BS TX PROVIDER NUMBER

Other names 1

  • Texas Neurodiagnostic Headache & Sleep disorder Center, PA Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.