Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Ejiofor, DO

Individual provider Internal Medicine Physician · NPI 1285251983

Shannon Ejiofor, DO is a Nephrology in El Paso, Texas. Qualified in 2020, 6 years ago. Practices with Texas Tech University Health Sciences Center El Paso, a 307-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
6
Licensed in
MO, TX
In the registry since
2020
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4801 Alberta Ave
El Paso, TX 79905-2707
Phone: (915) 215-5200
Fax: (915) 215-8640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 S Grand Blvd, Saint Louis, MO 63104-1016 — (314) 257-8000

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence W0562 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2020018976 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 2023020723 (MO)

Record details

NPI number1285251983
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1201 S Grand Blvd, Saint Louis, MO 63104-1016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Texas Tech University Health Sciences Center El Paso — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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