Organization Active NPI

Sun Neuro PA

  • Neurocritical Care Physician
  • El Paso, TX
National Provider Identifier
1437697265
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
Q1700 Issued in TX
Legal business name
SUN NEURO PA
Practice address
10657 Vista del Sol Dr Ste F
El Paso, TX 79935-4504
Phone
(915) 303-7548
Fax
(915) 303-7558
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Adaeze Onuoha, MDNPI 1770723587
Title
Chairperson
Phone
(646) 675-5597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A2900X 44571 AZ
Neurocritical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A2900X 2009007063 MO
Neurocritical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A2900X Q1700 TX Primary

Addresses

Primary practice location

10657 Vista del Sol Dr Ste F
El Paso, TX 79935-4504

Mailing address

10657 Vista del Sol Dr Ste F
El Paso, TX 79935-4504
Phone (915) 303-7548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170929000809 TX Part B Supplier - Clinic/Group Practice 5496020547 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

10657 Vista del Sol Dr
Ste F
El Paso, TX 79935
Phone (915) 303-7548

1400 George Dieter Dr
Ste 110
El Paso, TX 79936
Phone (915) 201-2624

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16004/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1437697265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10657 VISTA DEL SOL DR STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354504",
            "telephone_number": "915-303-7548",
            "fax_number": "915-303-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10657 VISTA DEL SOL DR STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354504",
            "telephone_number": "915-303-7548",
            "fax_number": "915-303-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN NEURO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "ADAEZE",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "646-675-5597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "AZ",
            "license": "44571",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "MO",
            "license": "2009007063",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "Q1700",
            "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 Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.