NPIMap

Individual provider Active NPI

Nishaal Antony, M.D.

  • Infectious Disease Physician
  • El Paso, TX
National Provider Identifier
1063824050
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
S1753 Issued in TX
Practice address
1205 N Oregon St
El Paso, TX 79902-4023
Phone
(915) 533-4900
NPI assigned
May 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X S1753 TX Primary

Addresses

Primary practice location

1205 N Oregon St
El Paso, TX 79902-4023

Mailing address

4300 Boy Scout LN
El Paso, TX 79922-2201

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716000185 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 2163757071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suresh J Antony MD PAGroup PAC ID 1951403054, 2 clinicians

Practice addresses (Care Compare)

1205 N Oregon St
El Paso, TX 79902-4023
Phone (915) 533-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.18 of 100Reported as individual
Quality
76.8
Improvement activities
0
Cost
74.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh J Antony M D P a Infectious Disease CurrentSince Jun 1, 2019 Accepting new patients
Nishaal Antony PA Infectious Disease CurrentSince Aug 1, 2021 Accepting new patients

Locations

1205 N Oregon St
El Paso, TX 79902
Phone (915) 333-4900

Organizations & group practices 2

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 9

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1063824050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BOY SCOUT LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799222201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024023",
            "telephone_number": "915-533-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "NISHAAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "S1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.