Organization Active NPI

I Vascular Center of El Paso PLLC

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1710408638
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
I VASCULAR CENTER OF EL PASO PLLC
Practice address
11989 Pellicano Dr Ste D
El Paso, TX 79936-6288
Phone
(210) 240-9996
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Authorized official

Name
Dr. Anwar Gerges, MD
Title
Medical Owner
Phone
(210) 240-9996

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X J5769 TX

Addresses

Primary practice location

11989 Pellicano Dr Ste D
El Paso, TX 79936-6288

Mailing address

19234 Stonehue
San Antonio, TX 78258-3477

Other identifiers 1

IdentifierTypeStateIssuer
117880808MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
I Vascular Center of El Paso PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1710408638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19234 STONEHUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11989 PELLICANO DR STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366288",
            "telephone_number": "210-240-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I VASCULAR CENTER OF EL PASO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "MEDICAL OWNER",
        "authorized_official_telephone_number": "210-240-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J5769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117880808",
            "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 Jun 30, 2017; 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.