Organization Active NPI

El Paso Neurological Institute, PA

  • Neurology Physician
  • El Paso, TX
National Provider Identifier
1477845683
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N8602 Issued in TX
Legal business name
EL PASO NEUROLOGICAL INSTITUTE, PA
Practice address
3270 Joe Battle Blvd
235
El Paso, TX 79938-2639
Phone
(915) 504-6890
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Kwazi Adzotor, MD
Title
Director/MD
Phone
(915) 504-6890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X N8602 TX
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X N8602 TX Primary

Addresses

Primary practice location

3270 Joe Battle Blvd
235
El Paso, TX 79938-2639

Mailing address

5959 Gateway Blvd W
120
El Paso, TX 79925-3331
Phone (915) 779-1716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000304 TX Part B Supplier - Clinic/Group Practice 2466621503 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1269 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 504-6890

3270 Joe Battle Blvd
Ste 235
El Paso, TX 79938
Phone (915) 504-6890

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039250
  • Direct secure messaging: kwasiadzotor@epni.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1477845683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 JOE BATTLE BLVD",
            "address_2": "235",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382639",
            "telephone_number": "915-504-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO NEUROLOGICAL INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "ADZOTOR",
        "authorized_official_first_name": "KWAZI",
        "authorized_official_title_or_position": "DIRECTOR/MD",
        "authorized_official_telephone_number": "915-504-6890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N8602",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N8602",
            "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 Aug 29, 2011; 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.