NPIMap

Organization Active NPI

El Paso Kidney Specialists PA

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1881680155
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EL PASO KIDNEY SPECIALISTS PA
Practice address
1601 Brown St
El Paso, TX 79902-4724
Phone
(915) 544-4500
Fax
(915) 544-4572
NPI assigned
Sep 22, 2005
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Virginia Martinez
Title
Practice Manager
Phone
(915) 544-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X TX Primary

Addresses

Primary practice location

1601 Brown St
El Paso, TX 79902-4724

Mailing address

1601 Brown St
El Paso, TX 79902-4724
Phone (915) 544-4500

Other practice location 1

11989 Pellicano Dr Ste C
El Paso, TX 79936-6288
Phone (915) 857-0700

Other identifiers 2

IdentifierTypeStateIssuer
161379601MedicaidTX
1881680155MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000331 TX Part B Supplier - Clinic/Group Practice 6608866819 Receives reassigned benefits from 16 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11989 Pellicano Dr
Ste B
El Paso, TX 79936
Phone (915) 857-7495

11989 Pellicano Dr
Ste C
El Paso, TX 79936
Phone (915) 857-0700

1310 Murchison Dr
El Paso, TX 79902

1700 Curie Dr
Ste 4300
El Paso, TX 79902
Phone (915) 544-4500

500 E Schuster Ave
#B
El Paso, TX 79902
Phone (915) 544-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17767/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1881680155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024724",
            "telephone_number": "915-544-4500",
            "fax_number": "915-544-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024724",
            "telephone_number": "915-544-4500",
            "fax_number": "915-544-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11989 Pellicano Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799366288",
            "country_code": "US",
            "telephone_number": "915-857-0700",
            "fax_number": "915-857-7495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EL PASO KIDNEY SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "915-544-4500"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161379601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881680155",
            "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 Oct 9, 2026; 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.