Individual provider Active NPI

Desiree Dee Webber, DPM

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
National Provider Identifier
1013254135
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
TX3005 Issued in TX
Practice address
820 E Redd Rd
El Paso, TX 79912-7275
Phone
(915) 581-0712
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TX3005 TX
Foot & Ankle Surgery Podiatrist 213ES0103X TR-128 NC
Foot & Ankle Surgery Podiatrist 213ES0103X TX3005 TX Primary

Addresses

Primary practice location

820 E Redd Rd
El Paso, TX 79912-7275

Mailing address

820 E Redd Rd BLDG B
El Paso, TX 79912-7275
Phone (915) 581-0712

Other practice location 1

1387 George Dieter Dr Ste 106D
El Paso, TX 79936-7410
Phone (915) 581-0712

Other names 1

  • Dr. Desiree Dee Diebold Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828001944 TX Practitioner - Podiatry 9830516335 Reassigns benefits to 1 organization
Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Orthopaedic and Hand Surgery Specialists PLLCGroup PAC ID 4587827506, 14 clinicians

Practice addresses (Care Compare)

820 E Redd Rd
BLDG B
El Paso, TX 79912-7275
Phone (915) 581-0712

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue97
Removal of skin lesions1-10
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX3005TXMDPodiatrist
TR-128NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Orthopaedic & Hand Surgery Specialists PLLC CurrentSince May 1, 2021 Accepting new patients
Eric Sides, M.D., PA CurrentSince May 1, 2021 Accepting new patients

Locations

820 E Redd Rd
El Paso, TX 79912
Phone (405) 697-2420

1387 George Dieter Dr
Ste 106D
El Paso, TX 79936
Phone (915) 581-0712

820 E Redd Rd
Bldg B
El Paso, TX 79912
Phone (915) 581-0712

1400 George Dieter Dr
Ste 100
El Paso, TX 79936
Phone (915) 247-3150

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1013254135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E REDD RD BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127275",
            "telephone_number": "915-581-0712",
            "fax_number": "915-533-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127275",
            "telephone_number": "915-581-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1387 George Dieter Dr Ste 106D",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367410",
            "country_code": "US",
            "telephone_number": "915-581-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "DESIREE",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "TX3005",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "TR-128",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "TX3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "DIEBOLD",
            "middle_name": "DEE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.