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DR. NISHAAL ANTONY M.D.
NPI 1063824050
Internal Medicine - Infectious Disease in El Paso, TX

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment
1205 N OREGON ST, EL PASO, TX 79902(915) 533-4900 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nishaal Antony M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NISHAAL ANTONY M.D. (NPI 1063824050) is an individual infectious disease provider in El Paso, Texas, licensed in Texas (S1753) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1063824050
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. NISHAAL ANTONYCredential: M.D.
Location Address1205 N OREGON STEl Paso, TX 79902-4023
Mailing Address4300 Boy Scout LnEl Paso, TX 79922-2201
Phone(915) 533-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 23, 2014
Last NPPES UpdateAugust 2, 2019
✔ NPI 1063824050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · S1753
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1205 N OREGON ST, El Paso, TX 79902
Open in Google Maps ↗

Secondary Practice Location 1

Location 14800 Alberta AveEl Paso, TX 79905-2709 · Phone (915) 215-5200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nishaal Antony M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163757071
PECOS Enrollment IDI20190716000185
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,091 services320 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
363 services215 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
302 services135 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
268 services266 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services40 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services32 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450002
Location2001 N Oregon StEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number670120
Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA ELOISA SALCEDO ACAGNP-BC RN
Nurse Practitioner (Acute Care)
1205 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 533-4900
NISHAAL ANTONY PA
Internal Medicine (Infectious Disease)
1205 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 526-6968
MRS. JANUARY DAWN IVANCIC
Nurse Practitioner (Family)
1205 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 533-4900
DR. SURESH J ANTONY M.D.
Internal Medicine (Infectious Disease)
1205 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 533-4900
SURESH J ANTONY M D P A
Internal Medicine (Infectious Disease)
1205 N OREGON ST
EL PASO, TX 79902
El Paso County (915) 533-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nishaal Antony's NPI number?

The NPI number for Nishaal Antony is 1063824050. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Nishaal Antony located?

Nishaal Antony practices at 1205 N Oregon St, El Paso, TX 79902. The listed phone number is (915) 533-4900.

What is Nishaal Antony's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nishaal Antony enrolled in Medicare?

Yes. Nishaal Antony is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nishaal Antony accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Nishaal Antony as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nishaal Antony affiliated with any hospitals?

According to CMS data, Nishaal Antony is affiliated with The Hospitals Of Providence - Memorial Campus, University Medical Center Of El Paso, Las Palmas Medical Center A Campus Of Lpds Healthc, Sierra Medical Center and The Hospitals Of Providence Transmountain Campus.

When was this NPI record last updated?

The NPPES record for Nishaal Antony was last updated on August 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.