Active NPI
Digestive Health Clinic of El Paso P a
- Gastroenterology Physician
- El Paso, TX
National Provider Identifier
1982641874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- J 5805
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119036501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.