Individual provider Active NPI

Carlos Cristobal Amaya, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1407826688
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP110997 Issued in TX
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

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20181212001516 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395796528 Reassigns benefits to 1 organization

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
Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
RN- 45487HIMDRegistered Nurse
599359TXMDCertified Registered Nurse Anesthetist
AP110997TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Ellman, M.D., P.a. CurrentSince Dec 1, 2021 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.