Organization Active NPI

Nephrology Associates of El Paso

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1215051545
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E9573 Issued in TX
Legal business name
NEPHROLOGY ASSOCIATES OF EL PASO
Practice address
1527 Brown St Ste a
El Paso, TX 79902-4737
Phone
(915) 532-2693
Fax
(915) 532-8985
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Dr. Alfonso Chavez, M.D.NPI 1356326987
Title
Physician
Phone
(915) 532-2693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X E9573 TX Primary

Addresses

Primary practice location

1527 Brown St Ste a
El Paso, TX 79902-4737

Mailing address

1527 Brown St Ste a
El Paso, TX 79902-4737
Phone (915) 532-2693

Other identifiers 1

IdentifierTypeStateIssuer
081588801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000283 TX Part B Supplier - Clinic/Group Practice 7618009010 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1225 E Cliff Dr
Ste D
El Paso, TX 79902
Phone (915) 532-2693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1215051545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 BROWN ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024737",
            "telephone_number": "915-532-2693",
            "fax_number": "915-532-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 BROWN ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024737",
            "telephone_number": "915-532-2693",
            "fax_number": "915-532-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-532-2693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E9573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081588801",
            "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 Mar 15, 2023; 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.