Rio Grande Diagnostic Imaging, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RIO GRANDE DIAGNOSTIC IMAGING, PA

Practice address

1801 N Oregon St
El Paso, TX 79902-3524

Phone

(915) 595-9202

Fax

(915) 595-9781

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ira Sam Kupetz, MD

Title

President

Phone

(817) 731-7771

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vishan Giyanani, MD

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1154313898
  NPD (past)
• Sylvester D Phifer, M.D.

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1033185459
  NPD (past)
• Jorge Salcedo, M.D.

  • Diagnostic Ultrasound Physician
  • El Paso, TX
  • NPI 1679549091
  NPD (past)
• Robert Warr, M.D.

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1154690840
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1407929474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101957",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761851957",
            "telephone_number": "817-731-7771",
            "fax_number": "817-731-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023524",
            "telephone_number": "915-595-9202",
            "fax_number": "915-595-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE DIAGNOSTIC IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KUPETZ",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-731-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0003EE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00077304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CG5428",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095053701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201074651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Rincones, APRN
• Wendy Lynn Rindahl
• Jean-Luc J Ringuet, PA-C, MPAS
• Rio del Sol
• Rio Grande Anesthesia
• Rio Grande Health Center of El Paso Inc
• Rio Grande Nephrology Consultants PLLC
• Rio Grande OB GYN Group, PA
• Rio Grande Pathology Services PA
• Rio Grande Pharmacy, LLC

• Diagnostic Radiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.