NPIMap

Individual provider Active NPI

Suresh J Antony, M.D.

  • Infectious Disease Physician
  • El Paso, TX
National Provider Identifier
1831136548
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
K0610 Issued in TX
Practice address
1205 N Oregon St
El Paso, TX 79902-4023
Phone
(915) 533-4900
Fax
(915) 533-4902
NPI assigned
Jun 1, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X K0610 TX Primary

Addresses

Primary practice location

1205 N Oregon St
El Paso, TX 79902-4023

Mailing address

1205 N Oregon St
El Paso, TX 79902-4023
Phone (915) 533-4900

Other identifiers 1

IdentifierTypeStateIssuer
101588505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000709 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820988017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suresh J Antony MD PAGroup PAC ID 1951403054, 2 clinicians

Practice addresses (Care Compare)

1205 N Oregon St
El Paso, TX 79902-4023
Phone (915) 533-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0610TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh J Antony M D P a Infectious Disease CurrentSince Sep 1, 2006 Accepting new patients

Locations

1205 N Oregon St
El Paso, TX 79902
Phone (915) 333-4900

Organizations & group practices 1

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 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1831136548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024023",
            "telephone_number": "915-533-4900",
            "fax_number": "915-533-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024023",
            "telephone_number": "915-533-4900",
            "fax_number": "915-533-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "SURESH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K0610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101588505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.