NPIMap

Organization Active NPI

Nirp South Central Texas PLLC

  • Interventional Cardiology Physician
  • El Paso, TX
National Provider Identifier
1447715735
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
NIRP SOUTH CENTRAL TEXAS PLLC
Practice address
1810 Murchison Drive
Ste 104
El Paso, TX 79902-2906
Phone
(281) 888-8999
Fax
(281) 305-4054
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Andrew Ekansh Gomes, MD
Title
Authorized Official
Phone
(281) 888-8999

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

1810 Murchison Drive
Ste 104
El Paso, TX 79902-2906

Mailing address

PO Box 734543
Dallas, TX 75373-3445
Phone (281) 888-8999

Other practice location 1

2301 Indian Wells Road
Ste A
Alamogordo, NM 88310-4611
Phone (281) 888-8999

Other practice location 2

2951 North Roadrunner Pkwy
Las Cruces, NM 88011-0814
Phone (281) 888-8999

Other practice location 3

1016 W Pierce Street
Carlsbad, NM 88220-4013
Phone (281) 888-8999

Other names 1

  • PAD Specialists - El Paso Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190621000163 TX Part B Supplier - Clinic/Group Practice 6709110984 Receives reassigned benefits from 22 practitioners
Practice locations: El Paso, TX
O20220714000729 NM Part B Supplier - Clinic/Group Practice 6709110984 Receives reassigned benefits from 1 practitioner
Practice locations: Alamogordo, NM; Las Cruces, NM; Carlsbad, NM

National Provider Directory

National Provider Directory

Locations

221 N Kansas St
Ste 700
El Paso, TX 79901
Phone (817) 242-3733

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1447715735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734543",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733445",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MURCHISON DRIVE",
            "address_2": "STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022906",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Indian Wells Road",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104611",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2951 North Roadrunner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880110814",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 W Pierce Street",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882204013",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIRP SOUTH CENTRAL TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "EKANSH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-888-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAD Specialists - El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2023; 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.