Individual provider Active NPI

Nahid Vandshekari, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • El Paso, TX
National Provider Identifier
1982660759
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
018430 Issued in TX
Practice address
5555 N Mesa St Ste 400
El Paso, TX 79912-5424
Phone
(915) 320-9476
Fax
(915) 275-5510
NPI assigned
Apr 21, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 018430 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 018430 TX Primary
Family Medicine Physician 207Q00000X L5938 TX

Addresses

Primary practice location

5555 N Mesa St Ste 400
El Paso, TX 79912-5424

Mailing address

5555 N Mesa St Ste 400
El Paso, TX 79912-5424
Phone (915) 320-9476

Other identifiers 2

IdentifierTypeStateIssuer
BV7863168OtherTXDEA
70126090OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000629 TX Practitioner - Family Practice 4284606765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2311 N Mesa St
Suite H
El Paso, TX 79902-3575
Phone (915) 320-9476

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018430TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Medical Care PLLC Family Medicine CurrentSince Nov 17, 2023 Accepting new patients

Locations

2311 N Mesa St
Ste H
El Paso, TX 79902
Phone (915) 320-9476

5555 N Mesa St
Ste 400
El Paso, TX 79912
Phone (915) 320-9476

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nahid.vandshekari@ephvp-tx.direct.office.nextgen.com
  • Direct secure messaging: nvandshekari@smcp-tx2.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Green Mountain Healthcare Services LLCEl Paso, TX, CCN 741749 Hospice 5% Or Greater Direct Ownership Interest (70%)
W-2 Managing Employee (100%)
Mar 17, 2017
Mar 17, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1982660759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N MESA ST STE 400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125424",
            "telephone_number": "915-320-9476",
            "fax_number": "915-275-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N MESA ST STE 400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125424",
            "telephone_number": "915-320-9476",
            "fax_number": "915-275-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDSHEKARI",
        "first_name": "NAHID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "018430",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "018430",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "BV7863168",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "70126090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.