Organization Active NPI

Sun City Kidney, PA

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1568876324
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1325 Issued in TX
Legal business name
SUN CITY KIDNEY, PA
Practice address
1250 E Cliff Dr
Suite 3E
El Paso, TX 79902
Phone
(915) 626-5548
Fax
(915) 626-5411
NPI assigned
Jun 19, 2014
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Rey Francisco Rosario, MDNPI 1033103080
Title
President/Owner
Phone
(915) 626-5548

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M1325 TX Primary

Addresses

Primary practice location

1250 E Cliff Dr
Suite 3E
El Paso, TX 79902

Mailing address

1250 E Cliff Dr
Suite 3E
El Paso, TX 79902
Phone (915) 626-5548

Other identifiers 1

IdentifierTypeStateIssuer
1033103080OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001972 TX Part B Supplier - Clinic/Group Practice 3274855663 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2101575Sun City Kidney, PA1250 E Cliff Dr Ste 3-E, El Paso, TX 79902Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Locations

1250 E Cliff Dr
Ste 3E
El Paso, TX 79902
Phone (915) 532-4458

3080 Joe Battle Blvd
Ste A
El Paso, TX 79938
Phone (915) 313-4949

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9239/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1568876324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR",
            "address_2": "SUITE 3E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-626-5548",
            "fax_number": "915-626-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR",
            "address_2": "SUITE 3E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-626-5548",
            "fax_number": "915-626-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY KIDNEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "915-626-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033103080",
            "state": null
        }
    ],
    "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 Oct 23, 2014; 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.