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DR. SURESH J ANTONY M.D.
NPI 1831136548
Internal Medicine - Infectious Disease in El Paso, TX

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
41.67/100
CMS Quality Rating
1205 N OREGON ST, EL PASO, TX 79902(915) 533-4900(915) 533-4902 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Suresh J Antony M.d. NPPES

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

DR. SURESH J ANTONY M.D. (NPI 1831136548) is an individual infectious disease provider in El Paso, Texas, licensed in Texas (K0610) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1831136548
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. SURESH J ANTONYCredential: M.D.
Location Address1205 N OREGON STEl Paso, TX 79902-4023
Mailing Address1205 N Oregon StEl Paso, TX 79902-4023 · (915) 533-4900 · Fax (915) 533-4902
Phone(915) 533-4900
Fax(915) 533-4902
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 1, 2006
Last NPPES UpdateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1831136548 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 · K0610
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 ↗

Other Identifiers 1

Medicaid101588505TX

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. Suresh J 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 ID8820988017
PECOS Enrollment IDI20040319000709
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 10

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.
1,505 services229 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.
214 services124 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.
205 services123 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.
190 services184 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
24 services22 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

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 - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

41.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality52.64
Improvement Activities0
Cost40.72

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
28%72 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%65 patients1/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 32 patients
0%32 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
DR. NISHAAL ANTONY M.D.
Internal Medicine (Infectious Disease)
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
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 Suresh Antony's NPI number?

The NPI number for Suresh Antony is 1831136548. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Suresh Antony located?

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

What is Suresh Antony's specialty?

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

Is Suresh Antony enrolled in Medicare?

Yes. Suresh 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 Suresh 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 5 other insurers list Suresh 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 Suresh Antony affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Suresh Antony was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.