Organization Active NPI

El Paso Neurosurgery Center, P.a.

  • Neurological Surgery Physician
  • El Paso, TX
National Provider Identifier
1699815944
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L2019 Issued in TX
Legal business name
EL PASO NEUROSURGERY CENTER, P.A.
Practice address
10400 Vista del Sol Dr
Suite 104
El Paso, TX 79925-7945
Phone
(915) 590-1890
Fax
(915) 590-1952
NPI assigned
Feb 7, 2007
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Shanker Sundrani, M.D.NPI 1417959198
Title
Owner
Phone
(915) 590-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L2019 TX Primary
Neurology Physician 2084N0400X L2019 TX

Addresses

Primary practice location

10400 Vista del Sol Dr
Suite 104
El Paso, TX 79925-7945

Mailing address

10400 Vista del Sol Dr
Suite 104
El Paso, TX 79925-7945
Phone (915) 590-1890

Other identifiers 6

IdentifierTypeStateIssuer
200402600OtherUS DEPT OF LABOR
34039376MedicaidNM
8B1328OtherTXBLUE CROSS OF TEXAS
64186OtherNMPRESBYTERIAN SALUD
7450354OtherAETNA
2057267-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

10400 Vista del Sol Dr
Ste 104
El Paso, TX 79925
Phone (915) 225-2480

3028 Trawood Dr
Ste C
El Paso, TX 79936
Phone (915) 590-1890

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1699815944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 VISTA DEL SOL DR",
            "address_2": "SUITE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257945",
            "telephone_number": "915-590-1890",
            "fax_number": "915-590-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 VISTA DEL SOL DR",
            "address_2": "SUITE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257945",
            "telephone_number": "915-590-1890",
            "fax_number": "915-590-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO NEUROSURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "SUNDRANI",
        "authorized_official_first_name": "SHANKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-590-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L2019",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "200402600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34039376",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "8B1328",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN SALUD",
            "identifier": "64186",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7450354",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057267-01",
            "state": "TX"
        }
    ],
    "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 Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.