Organization Active NPI

Prosperity Ep Medical Group, PLLC

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1275482747
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROSPERITY EP MEDICAL GROUP, PLLC
Practice address
4747 Hondo Pass Dr
Ste N&O
El Paso, TX 79904-1482
Phone
(915) 308-7310
Fax
(915) 308-7311
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Maanit KohliNPI 1669856670
Title
Authorized Official
Phone
(915) 308-7310

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4747 Hondo Pass Dr
Ste N&O
El Paso, TX 79904-1482

Mailing address

4747 Hondo Pass Dr Ste N&O
El Paso, TX 79904-1482
Phone (915) 308-7310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422003565 TX Part B Supplier - Clinic/Group Practice 7416424817 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

4747 Hondo Pass Dr
Ste No
El Paso, TX 79904
Phone (915) 308-7310

Practitioners & affiliated clinicians

Practitioners 2

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": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1275482747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 HONDO PASS DR STE N&O",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041482",
            "telephone_number": "915-308-7310",
            "fax_number": "915-308-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 HONDO PASS DR",
            "address_2": "STE N&O",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041482",
            "telephone_number": "915-308-7310",
            "fax_number": "915-308-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY EP MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "MAANIT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "915-308-7310"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Apr 8, 2026; 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.