Individual provider Active NPI

Prashant Jha

  • Pediatric Critical Care Medicine Physician
  • El Paso, TX
National Provider Identifier
1396131819
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
W0425 Issued in TX
Practice address
4845 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-5700
Fax
(915) 215-8872
NPI assigned
Apr 10, 2015
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X W0425 TX Primary
Pediatrics Physician 208000000X W0425 TX
Pediatric Critical Care Medicine Physician 2080P0203X D0104428 MD
Pediatric Critical Care Medicine Physician 2080P0203X 19105 NV

Addresses

Primary practice location

4845 Alameda Ave
El Paso, TX 79905-2705

Mailing address

5130 Gateway Blvd E
El Paso, TX 79905-1608
Phone (915) 215-4480

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700

Other practice location 2

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other practice location 3

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

Other practice location 4

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MT, MD, SD, TX, AZ6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20191126001733 NV Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 6204125685 Reassigns benefits to 3 organizations
I20250718000456 MT Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6204125685 Reassigns benefits to 1 organization
I20250926000724 MD Practitioner - Pediatric Medicine 6204125685 Reassigns benefits to 1 organization
I20251112004211 SD Practitioner - Pediatric Medicine 6204125685 Reassigns benefits to 1 organization
I20251119001359 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6204125685 Reassigns benefits to 1 organization
I20260416003281 AZ Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6204125685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Critical Care (Intensivists)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118

353 Fairmont Blvd
Rapid City, SD 57701-7375

353 Fairmont Blvd
Rapid City, SD 57701-7393

5130 Gateway Blvd E
El Paso, TX 79905-1608

900 Elkridge Landing Rd
Linthicum, MD 21090-2924

PO Box
Suite 778
Easton, MD 21601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0104428MDMDPediatric Critical Care Medicine Physician
19105NVMDPediatric Critical Care Medicine Physician
W0425TXMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jul 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Dec 1, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Northeastern Nevada Physician Practices LLC CurrentSince Jul 25, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2025 Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Aug 1, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group - Billings LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Northeastern Nevada Physician Practices LLC Family Medicine CurrentSince Jul 25, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Meena P Vohra MD PC Pediatric Critical Care Medicine CurrentSince Jul 31, 2019 Accepting new patients
Pokroy Medical Group of Nevada, LTD. Pediatrics CurrentSince Nov 4, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
PHC-Elko Inc Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1995 Errecart Blvd
Ste 202
Elko, NV 89801
Phone (775) 735-3654

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

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

Interoperability endpoints

  • Direct secure messaging: pjha1283027@direct.umm.edu
  • Direct secure messaging: prashant.jha.1@20237.direct.athenahealth.com

Organizations & group practices 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1396131819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "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": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5700",
            "fax_number": "915-215-8872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-213-6235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Upper Chesapeake Dr",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144324",
            "country_code": "US",
            "telephone_number": "443-643-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022329",
            "country_code": "US",
            "telephone_number": "702-383-2420",
            "fax_number": "702-383-8402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHA",
        "first_name": "PRASHANT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "W0425",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "W0425",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MD",
            "license": "D0104428",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NV",
            "license": "19105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.