Active NPI
Vid Fikfak, MD
- Colon & Rectal Surgery Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- S2771
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 215-5300
- Fax
- (915) 215-8606
- NPI assigned
- Jun 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10044088 | TX | |
| Colon & Rectal Surgery Physician | 208C00000X | S2771 | TX | Primary |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
6550 Fannin St Ste 2307
Houston, TX 77030-2723
Phone (832) 472-6356
Other practice location 1
6565 Fannin St
Methodist Hospital
Houston, TX 77030
Phone (713) 441-1672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10044088 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Odessa | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
Interoperability endpoints
- vid.fikfak@direct.myhealthep.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Medical Center of EL Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Surgery Physician
- El Paso, TX
- NPI 1538240478
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1245592484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 2307",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302723",
"telephone_number": "832-472-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052707",
"telephone_number": "915-215-5300",
"fax_number": "915-215-8606"
}
],
"practiceLocations": [
{
"address_1": "6565 Fannin St",
"address_2": "METHODIST HOSPITAL",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-441-1672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIKFAK",
"first_name": "VID",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10044088",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "S2771",
"primary": true
}
],
"identifiers": [],
"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 Nov 6, 2019; 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.