Active NPI
Carlos Cristobal Amaya, CRNA
- Certified Registered Nurse Anesthetist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP110997
- Practice address
- 5005 N Piedras St
El Paso, TX 79920 - Phone
- (915) 742-6068
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN- 45487 | HI | |
| Certified Registered Nurse Anesthetist | 367500000X | 599359 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP110997 | TX | Primary |
Addresses
Primary practice location
5005 N Piedras St
El Paso, TX 79920
Mailing address
11436 Ardelle Ave
El Paso, TX 79936-2400
Phone (915) 255-8938
Other practice location 1
1 Jarrett White Rd
Tamc, HI 96859-5001
Phone (808) 433-6452
Other practice location 2
1400 Common Dr
El Paso, TX 79936-5922
Phone (915) 490-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Common Dr
El Paso, TX 79936-5922
Phone (915) 595-4375
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 80.36
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 84.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN- 45487 | HI | MD | Registered Nurse |
| 599359 | TX | MD | Certified Registered Nurse Anesthetist |
| AP110997 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Ellman, M.D., P.a. | Current | Accepting new patients |
Locations
4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843
1400 Common Dr
El Paso, TX 79936
Phone (915) 267-2020
4171 N Mesa St
Ste D100
El Paso, TX 79902
Phone (915) 267-2020
Interoperability endpoints
- carlos.amaya.p26@direct.avp.nextgenshare.com
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- El Paso, TX
- NPI 1053530907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1407826688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11436 ARDELLE AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799362400",
"telephone_number": "915-255-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-742-6068"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tamc",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-6452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Common Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799365922",
"country_code": "US",
"telephone_number": "915-490-1766",
"fax_number": "915-595-4460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMAYA",
"first_name": "CARLOS",
"middle_name": "CRISTOBAL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN- 45487",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "599359",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP110997",
"primary": true
}
],
"identifiers": [],
"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 Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.