Nishaal Antony PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

NISHAAL ANTONY PA

Practice address

1205 N Oregon St
El Paso, TX 79902

Phone

(915) 526-6968

NPI assigned

Apr 13, 2021

Last updated

Sep 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nishaal Antony, MDNPI 1063824050

Title

President

Phone

(915) 533-4900

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nishaal Antony, M.D.

  • Infectious Disease Physician
  • El Paso, TX
  • NPI 1063824050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663459200000",
    "number": "1093395139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-526-6968"
        },
        {
            "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": "79902",
            "telephone_number": "915-526-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHAAL ANTONY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A",
        "authorized_official_last_name": "ANTONY",
        "authorized_official_first_name": "NISHAAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-533-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Infectious Disease Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.