Individual provider Active NPI

Wilbur J Strader, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • El Paso, TX
National Provider Identifier
1740283043
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D7693 Issued in TX
Practice address
1201 E Schuster Ave
BLDG 7
El Paso, TX 79902-4660
Phone
(915) 533-5486
Fax
(915) 533-9602
NPI assigned
May 31, 2005
Last updated
Dec 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D7693 TX Primary
Nuclear Medicine Physician 207U00000X D7693 TX

Addresses

Primary practice location

1201 E Schuster Ave
BLDG 7
El Paso, TX 79902-4660

Mailing address

PO Box 9520
El Paso, TX 79995-9520
Phone (915) 533-5486

Other identifiers 1

IdentifierTypeStateIssuer
Z00BA817MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001287 TX Practitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Endocrinology 1850203621 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2010 Accepting new patients
Country Club Urgent Care Center LLC CurrentSince Apr 1, 2015 Accepting new patients
Texas Tech University Health Sciences Center El Paso Endocrinology, Diabetes & Metabolism Current Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Nov 1, 2010 Accepting new patients

Locations

1201 E Schuster Ave
Bldg 7
El Paso, TX 79902
Phone (915) 229-6448

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

8041 N Mesa St
Ste B2
El Paso, TX 79932
Phone (915) 307-3416

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1740283043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799959520",
            "telephone_number": "915-533-5486",
            "fax_number": "915-533-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "BLDG 7",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024660",
            "telephone_number": "915-533-5486",
            "fax_number": "915-533-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADER",
        "first_name": "WILBUR",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "D7693",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "D7693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z00BA817",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.