Ammar Fadlalla Eljack, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

41229 Issued in OK

Practice address

1840 Joe Battle Blvd
El Paso, TX 79936-0962

Phone

(915) 249-4344

Fax

(915) 307-2765

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Interventional Cardiology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texan Cardiovascular Institute, PAGroup PAC ID 6608013503, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
• Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6580/brand/1/csg/1/fhir/r4
• Direct secure messaging: aeljack660897@direct.sw.org
• Direct secure messaging: ammar.eljack.1@6580.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texan Cardiovascular Institute, PA

  • Cardiovascular Disease Physician
  • El Paso, TX
  • NPI 1639418718
  Medicare reassignment Care Compare group NPD
• Texan Procedure Center, LLC

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
  • NPI 1841680691
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso Healthcare System LTD

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1346770781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360962",
            "telephone_number": "915-249-4344",
            "fax_number": "915-307-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360962",
            "telephone_number": "915-249-4344",
            "fax_number": "915-307-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Stanton L Young Blvd # 5340",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045018",
            "country_code": "US",
            "telephone_number": "405-271-4742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10501 Vista Del Sol Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257941",
            "country_code": "US",
            "telephone_number": "915-249-4344",
            "fax_number": "915-307-2765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Allied Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935348",
            "country_code": "US",
            "telephone_number": "469-814-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELJACK",
        "first_name": "AMMAR",
        "middle_name": "FADLALLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301112401",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "BP10070346",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "41229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Garcia D.C.P.a.
• Elizabeth Marrero
• Ruth Elizalde
• Astrid A Elizondo, LPC
• Karem Elizondo, PHARMD
• Ezra Samuel Elkayam, MD
• Gregory C. Elkins, MD
• Kaisa Elliott
• John L Ellis II, OD
• Linda Suzanne Ellis, MD

• Interventional Cardiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.