Individual provider Active NPI

John Kennedy Gresham, M.D.

  • Interventional Cardiology Physician
  • El Paso, TX
National Provider Identifier
1619170347
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M6641 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-5200
Fax
(915) 215-8640
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X M6641 TX
Cardiovascular Disease Physician 207RC0000X 0101230320 VA
Interventional Cardiology Physician 207RI0011X M6641 TX Primary
Cardiovascular Disease Physician 207RC0000X M6641 TX

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

540 Oak Centre Dr Ste 260
San Antonio, TX 78258-4767
Phone (210) 499-0448

Other practice location 1

540 Oak Centre Dr Ste 260
San Antonio, TX 78258-4767
Phone (210) 499-0448

Other practice location 2

1800 Garner Field Rd
Uvalde, TX 78801-6210
Phone (830) 333-8634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070917000474 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Nuclear Medicine 9537253984 Reassigns benefits to 4 organizations
I20260324002602 NC Practitioner - Interventional CardiologyPractitioner - Internal Medicine 9537253984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians
Uvalde Medical and Surgical AssociatesGroup PAC ID 3971650672, 13 clinicians
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians
Carteret County General Hospital CorporationGroup PAC ID 7517877517, 118 clinicians
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

Practice addresses (Care Compare)

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4822
Phone 83027862511175

221 A Professional Cir
Morehead City, NC 28557-4303
Phone (252) 499-8300

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5666

540 Oak Centre Dr
Suite 260
San Antonio, TX 78258-4767
Phone (210) 499-0448

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387
  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101230320VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde Medical and Surgical Associates CurrentSince Nov 1, 2025 Accepting new patients
Citizen'S Medical Center County of Victoria Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Uvalde Medical and Surgical Associates CurrentSince Nov 1, 2025 Accepting new patients
Cardiovascular Consultants of San Antonio, PLLC Cardiovascular Disease CurrentSince Feb 14, 2012 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients
North Central Cardiac Cath Lab LP Past Accepting new patients

Locations

540 Oak Centre Dr
Ste 260
San Antonio, TX 78258
Phone (210) 499-0448

19276 Stone Oak Pkwy
Ste 103
San Antonio, TX 78258
Phone (210) 403-9170

1800 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-4453

1195 Garner Field Rd
Ste 300
Uvalde, TX 78801
Phone (830) 278-3086

1195 Garner Field Rd
Ste 400
Uvalde, TX 78801
Phone (830) 278-1652

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

Interoperability endpoints

  • Direct secure messaging: john.gresham.1@21041.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1619170347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584767",
            "telephone_number": "210-499-0448",
            "fax_number": "210-370-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Oak Centre Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584767",
            "country_code": "US",
            "telephone_number": "210-499-0448",
            "fax_number": "210-370-9638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Garner Field Rd",
            "address_purpose": "LOCATION",
            "city": "Uvalde",
            "state": "TX",
            "postal_code": "788016210",
            "country_code": "US",
            "telephone_number": "830-333-8634",
            "fax_number": "830-591-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "JOHN",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "M6641",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101230320",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M6641",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M6641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.