NPIMap

Organization Active NPI

Henry Costa, MD, PA

  • Infectious Disease Physician
  • El Paso, TX
National Provider Identifier
1871699157
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
HENRY COSTA, MD, PA
Practice address
10555 Vista del Sol Dr
Ste 120
El Paso, TX 79925-7942
Phone
(915) 590-6770
Fax
(915) 590-6624
NPI assigned
Sep 15, 2006
Last updated
Sep 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Henry Costa, M.D.NPI 1134125651
Title
President
Phone
(915) 592-6868

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

10555 Vista del Sol Dr
Ste 120
El Paso, TX 79925-7942

Mailing address

7812 Gateway Blvd E
Ste 200
El Paso, TX 79915-1803
Phone (915) 592-6868

Other identifiers 2

IdentifierTypeStateIssuer
116754606MedicaidTX
DF4091OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

10555 Vista del Sol Dr
#C
El Paso, TX 79925
Phone (915) 590-6770

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1871699157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 GATEWAY BLVD E",
            "address_2": "STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151803",
            "telephone_number": "915-592-6868",
            "fax_number": "915-592-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 VISTA DEL SOL DR",
            "address_2": "STE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257942",
            "telephone_number": "915-590-6770",
            "fax_number": "915-590-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COSTA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-592-6868",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116754606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF4091",
            "state": null
        }
    ],
    "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, 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.