Individual provider Active NPI

Satheesh Balakrishnan Kumar, M.D.

  • Pediatric Cardiology Physician
  • El Paso, TX
National Provider Identifier
1215004726
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
G1066 Issued in TX
Practice address
1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646
Phone
(915) 533-5911
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X G1066 TX Primary

Addresses

Primary practice location

1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646

Mailing address

1201 E Schuster Ave Ste 3B
El Paso, TX 79902-4646
Phone (915) 533-5911

Other identifiers 4

IdentifierTypeStateIssuer
74-2205260OtherTAX IDENTIFICATION NUMBER
U3992OtherNMNEW MEXICO MEDICAID
132033501MedicaidTX
RH04OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171006000228 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0143595884 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Hospitals Limited CurrentSince Aug 2, 2017 Accepting new patients
Tenet Hospitals Limited CurrentSince Aug 2, 2017 Accepting new patients

Locations

2001 N Oregon St
#M
El Paso, TX 79902
Phone (915) 577-6011

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1215004726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 3B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-533-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 3B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-533-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SATHEESH",
        "middle_name": "BALAKRISHNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "G1066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "74-2205260",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAID",
            "identifier": "U3992",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132033501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RH04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.