Organization Active NPI

A & V Doctors PLLC

  • Vascular Surgery Physician
  • El Paso, TX
National Provider Identifier
1700274149
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
N1530 Issued in TX
Legal business name
A & V DOCTORS PLLC
Practice address
7500 N Mesa St
209
El Paso, TX 79912-3501
Phone
(915) 599-9742
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Emmanuel AnekweNPI 1205871720
Title
M.D.
Phone
(915) 599-9742

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
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X N1530 TX Primary

Addresses

Primary practice location

7500 N Mesa St
209
El Paso, TX 79912-3501

Mailing address

PO Box 221408
El Paso, TX 79913-4408

Other identifiers 1

IdentifierTypeStateIssuer
201307006MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150513000499 TX Part B Supplier - Clinic/Group Practice 3476873571 Receives reassigned benefits from 31 practitioners
Practice locations: El Paso, TX
O20170209000483 NM Part B Supplier - Clinic/Group Practice 3476873571 Receives reassigned benefits from 16 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

3830 E Lohman Ave
Ste 1
Las Cruces, NM 88011
Phone (915) 307-2631

2400 Trawood Dr
#203
El Paso, TX 79936
Phone (915) 599-9742

7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631

2204 Joe Battle Blvd
Ste B104
El Paso, TX 79938
Phone (415) 691-0462

7500 N Mesa St
Ste 209
El Paso, TX 79912
Phone (915) 599-9742

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1700274149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221408",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799134408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N MESA ST",
            "address_2": "209",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123501",
            "telephone_number": "915-599-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & V DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ANEKWE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "915-599-9742"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "N1530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201307006",
            "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 Sep 3, 2020; 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.