Organization Active NPI

Digestive Health Clinic of El Paso P a

  • Gastroenterology Physician
  • El Paso, TX
National Provider Identifier
1982641874
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J 5805 Issued in TX
Legal business name
DIGESTIVE HEALTH CLINIC OF EL PASO P A
Practice address
Suite 4a 1250 E. Cliff Dr.
El Paso, TX 79902-4850
Phone
(915) 541-7000
Fax
(915) 541-7002
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Venkateswara Rao Kolli, M.D
Title
Owner
Phone
(915) 433-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X J 5805 TX Primary

Addresses

Primary practice location

Suite 4a 1250 E. Cliff Dr.
El Paso, TX 79902-4850

Mailing address

Suite 4a 1250 E. Cliff Dr.
El Paso, TX 79902-4850
Phone (915) 541-7000

Other identifiers 1

IdentifierTypeStateIssuer
119036501MedicaidTX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17458/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1982641874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 4A 1250 E. CLIFF DR.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024850",
            "telephone_number": "915-541-7000",
            "fax_number": "915-541-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 4A 1250 E. CLIFF DR.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024850",
            "telephone_number": "915-541-7000",
            "fax_number": "915-541-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH CLINIC OF EL PASO P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KOLLI",
        "authorized_official_first_name": "VENKATESWARA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-433-3924",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J 5805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119036501",
            "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 Jan 8, 2008; 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.