Individual provider Active NPI

Roy Ivy Jr., M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1306844774
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D5045 Issued in TX
Practice address
1700 Curie Dr
Suite 2000
El Paso, TX 79902-2905
Phone
(915) 532-4631
Fax
(915) 544-9461
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D5045 TX Primary

Addresses

Primary practice location

1700 Curie Dr
Suite 2000
El Paso, TX 79902-2905

Mailing address

1700 Curie Dr
Suite 2000
El Paso, TX 79902-2905
Phone (915) 532-4631

Other identifiers 1

IdentifierTypeStateIssuer
043650301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: roy.ivy.1@18833.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1306844774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "SUITE 2000",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-532-4631",
            "fax_number": "915-544-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "SUITE 2000",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-532-4631",
            "fax_number": "915-544-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "D5045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043650301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.