Individual provider Active NPI

Mark Gan, D.O.

  • Anesthesiology Physician
  • El Paso, TX
National Provider Identifier
1215033931
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G8120 Issued in TX
Practice address
3909 N Mesa St Ste 100
El Paso, TX 79902-1501
Phone
(915) 532-2222
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G8120 TX Primary

Addresses

Primary practice location

3909 N Mesa St Ste 100
El Paso, TX 79902-1501

Mailing address

4445 N Mesa St Ste 122
El Paso, TX 79902-1117
Phone (915) 219-4300

Other identifiers 4

IdentifierTypeStateIssuer
133738801MedicaidTX
8U4600OtherTXBCBS
133738808MedicaidTX
89T296OtherTXBCBS

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
I20060104000386 TX Practitioner - Anesthesiology 8921021031 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8120TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donya Anesthesiology and Pain Medicine, PLLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Texas Ams PLLC Anesthesiology CurrentSince Oct 20, 2014 Accepting new patients

Locations

7835 Corral Dr
El Paso, TX 79915
Phone (915) 533-8412

5959 Gateway Blvd W
Ste 120
El Paso, TX 79925

3909 N Mesa St
Ste 100
El Paso, TX 79902
Phone (915) 532-2222

3909 N Mesa St
El Paso, TX 79902
Phone (915) 532-2222

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

11331 James Watt Dr
Ste 200A
El Paso, TX 79936

11331 James Watt Dr
Bldg 200
El Paso, TX 79936
Phone (915) 260-8256

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1215033931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 N MESA ST STE 122",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021117",
            "telephone_number": "915-219-4300",
            "fax_number": "915-519-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 N MESA ST STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021501",
            "telephone_number": "915-532-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAN",
        "first_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G8120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133738801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U4600",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133738808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89T296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.