Active NPI
Clayton J Vesely, DO
- Internal Medicine Physician
- El Paso, TX
National Provider Identifier
1285244939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2576
- Practice address
- 5005 N Piedras Street
El Paso, TX 79920-5001 - Phone
- (915) 742-2180
- Fax
- (915) 742-4363
- NPI assigned
- Aug 7, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2576 | NE | Primary |
Addresses
Primary practice location
5005 N Piedras Street
El Paso, TX 79920-5001
Mailing address
505 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1285244939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 POPE AVE",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660272332",
"telephone_number": "913-684-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS STREET",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-2180",
"fax_number": "915-742-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESELY",
"first_name": "CLAYTON",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-07",
"last_updated": "2024-02-01",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "2576",
"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 Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.