NPIMap

Organization Active NPI

El Paso Imaging Consultants PLLC

  • Diagnostic Radiology Physician
  • El Paso, TX
National Provider Identifier
1881981272
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EL PASO IMAGING CONSULTANTS PLLC
Practice address
4845 Alameda Ave
El Paso, TX 79905-2705
Phone
(575) 532-7000
Fax
(575) 532-7025
NPI assigned
Jul 6, 2011
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Chetan S Moorthy, MDNPI 1841282571
Title
Sole Owner
Phone
(915) 861-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

4845 Alameda Ave
El Paso, TX 79905-2705

Mailing address

661 S Mesa Hills Dr
Ste 102
El Paso, TX 79912-5550
Phone (800) 522-1952

Other identifiers 1

IdentifierTypeStateIssuer
287947001MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111221000359 TX Part B Supplier - Clinic/Group Practice 2860668845 Receives reassigned benefits from 6 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

7100 Westwind Dr
Ste 130
El Paso, TX 79912

Practitioners & affiliated clinicians

Practitioners 7

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": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1881981272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S MESA HILLS DR",
            "address_2": "STE 102",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125550",
            "telephone_number": "800-522-1952",
            "fax_number": "575-532-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO IMAGING CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "MOORTHY",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "915-861-1013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287947001",
            "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 Aug 20, 2012; 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.