Individual provider Active NPI

Sandeep Arya, MD

  • Pediatric Critical Care Medicine Physician
  • El Paso, TX
National Provider Identifier
1366780603
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
T6818 Issued in TX
Practice address
4845 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-5700
Fax
(915) 215-8872
NPI assigned
Jan 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2013030299 MO
Pediatric Critical Care Medicine Physician 2080P0203X 2013030299 MO
Pediatric Critical Care Medicine Physician 2080P0203X 24987 MS
Pediatric Critical Care Medicine Physician 2080P0203X T6818 TX Primary

Addresses

Primary practice location

4845 Alameda Ave
El Paso, TX 79905-2705

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (888) 815-2005

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (888) 815-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151009000553 MO Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 4082922133 Reassigns benefits to 1 organization
I20221021002346 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 4082922133 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24987MSMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Apr 1, 2023 Accepting new patients
Washington University CurrentSince Jul 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Dell Children's Medical Group Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Washington University CurrentSince Jul 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Apr 1, 2023 Accepting new patients

Locations

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

1 Childrens Pl
#8116
Saint Louis, MO 63110
Phone (314) 454-6095

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1366780603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "888-815-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-5700",
            "fax_number": "915-215-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "888-815-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARYA",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2013030299",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MO",
            "license": "2013030299",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MS",
            "license": "24987",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "T6818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.