Individual provider Active NPI

Neil Anthony Grieshop, M.D.

  • Trauma Surgery Physician
  • El Paso, TX
National Provider Identifier
1669487401
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
J9068 Issued in TX
Practice address
10201 Gateway Blvd W
Suite 130
El Paso, TX 79925-7652
Phone
(915) 595-9000
NPI assigned
Jul 30, 2006
Last updated
Apr 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J9068 TX
Trauma Surgery Physician 2086S0127X J9068 TX Primary

Addresses

Primary practice location

10201 Gateway Blvd W
Suite 130
El Paso, TX 79925-7652

Mailing address

PO Box 703847
Dallas, TX 75370-3847
Phone (972) 265-0370

Other identifiers 1

IdentifierTypeStateIssuer
103953908MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20040601001294 TX Practitioner - General Surgery 8426030883 Reassigns benefits to 1 organization
I20141204000159 NM Practitioner - General Surgery 8426030883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Wisconsin School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

Practice addresses (Care Compare)

6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone (800) 930-6313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9068TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Aug 13, 2022 Accepting new patients
Urgent Specialty Associates of Texas, PLLC CurrentSince Oct 26, 2022 Accepting new patients
Surgical Affiliates of California Surgery CurrentSince Dec 1, 2015 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients
Elective Surgical Care Specialists,PLLC Surgery Past Accepting new patients
El Paso Physician Group PA Surgery Past Accepting new patients
KPH-Consolidation, Inc. Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: neil.grieshop.1@1928.direct.athenahealth.com
  • Direct secure messaging: ngriesho@yourcarecommunity.org

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1669487401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703847",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753703847",
            "telephone_number": "972-265-0370",
            "fax_number": "972-403-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY BLVD W",
            "address_2": "SUITE 130",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257652",
            "telephone_number": "915-595-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHOP",
        "first_name": "NEIL",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J9068",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "J9068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103953908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.