Active NPI
Satheesh Balakrishnan Kumar, M.D.
- Pediatric Cardiology Physician
- El Paso, TX
National Provider Identifier
1215004726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- G1066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74-2205260 | Other | TAX IDENTIFICATION NUMBER | |
| U3992 | Other | NM | NEW MEXICO MEDICAID |
| 132033501 | Medicaid | TX | |
| RH04 | Other | TX | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Hospitals Limited | Current | Accepting new patients | |
| Tenet Hospitals Limited | Current | 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.
-
- Cardiovascular Disease Physician
- El Paso, TX
- NPI 1114345097
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1538522412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.