IRA S KUPETZ (NPI# 1871569293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871569293 |
| Entity Type | Individual |
| Full Name | IRA S KUPETZ |
| Credential | M.D. |
| Practice Address |
10301 Gateway Blvd W El Paso TX 79925-7701 |
| Mailing Address |
Po Box 101957 Fort Worth TX 76185-1957 |
| Practice Telephone | 9155359275 |
| Mailing Telephone | 8177317771 |
| Mailing Fax Number | 8177317774 |
| Enumeration Date | 2006-02-25 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
H8715 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RR | 300107926 | 01 |
| TX | 136939902 | 05 | |
| TX | MEDICAID NM | 16383079 | 01 |
| TX | EL PASO FIRST CHIPS | CH05880081 | 01 |
| TX | TAX ID | 742939272 | 01 |
| TX | AMERIGROUP | 85610Y | 01 |
| TX | BCBS | 85610Y | 01 |
| TX | EL PASO FIRST GROUP | GH05880081 | 01 |
| TX | MEDICAID PRESBYTERIAN | 54831 | 01 |
| TX | WORKERS COMP | MDH8715TX | 01 |
| TX | SUPERIOR SSI | 100869 | 01 |
| Street Address |
10301 GATEWAY BLVD W |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607563 | Luis Eduardo Fons | Nurse Practitioner | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2020-10-24 |
| 1932737459 | Joshua Harvey Nichols | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2020-03-30 |
| 1447881883 | Alyssa Nicole Morales | Registered Nurse | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2020-02-03 |
| 1518502376 | Sunrise Hospitalist LLC | Internal Medicine | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-11-15 |
| 1578110623 | Aileron Aesthetics LLC | Plastic Surgery | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-08-23 |
| 1073167615 | Lynn Cubela | Nurse Practitioner | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-07-31 |
| 1245890136 | Emiliana Gonzalez Leyva | Nurse Practitioner | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-06-13 |
| 1225694086 | Christian Bezboruah | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-05-16 |
| 1598321762 | Ankita Samant | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-05-14 |
| 1528624715 | Jared Smith | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346777190 | Diagnostic Pro Imaging | Radiology | 1335 Geronimo Dr, El Paso, TX 79925-1836 | 2017-05-11 |
| 1710388681 | Charles R De Jesus Morales | Radiology | 5001 El Paso Drive Csb-a02, Ttuhsc Radiology Dpt., El Paso, TX 79905 | 2014-09-10 |
| 1790051597 | Sajeev Rajan Ezhapilli Chennan | Radiology | 4815 Alameda Ave Dept Of, El Paso, TX 79905-2705 | 2012-03-26 |
| 1417235714 | Dinesh Kumar Sundarakumar | Radiology | 2001 No Oregron Street, El Paso, TX 79902-3320 | 2011-08-03 |
| 1033414404 | Point of View Imaging, LLC | Radiology | 10501 Gateway Blvd W Ste 140, El Paso, TX 79925-7929 | 2011-01-17 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1386818417 | Isuani Radiology, P.a. | Radiology | 4150 Rio Bravo, Suite 201, El Paso, TX 79902-1054 | 2008-04-18 |
| 1669645065 | Joseph Ungar | Radiology | 410 Thorn Ave Apt 15, El Paso, TX 79912-1339 | 2008-04-07 |
| 1992989859 | Jose Gavito-higuera | Radiology | 4805 Alberta Ave, El Paso, TX 79905-2709 | 2007-12-27 |
| 1861698276 | Daniel Simon Schlusselberg | Radiology | 6090 Surety Dr Ste 101, El Paso, TX 79905-2060 | 2007-06-22 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.