Active NPI
Roy Ivy Jr., M.D.
- Obstetrics & Gynecology Physician
- El Paso, TX
National Provider Identifier
1306844774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D5045
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043650301 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.