Individual provider Active NPI

Cesar Berdeja, MD

  • Anesthesiology Physician
  • El Paso, TX
National Provider Identifier
1144218561
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G1612 Issued in TX
Practice address
1801 N Oregon St
El Paso, TX 79902-3524
Phone
(915) 521-1200
Fax
(866) 862-5432
NPI assigned
Oct 10, 2005
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G1612 TX Primary

Addresses

Primary practice location

1801 N Oregon St
El Paso, TX 79902-3524

Mailing address

PO Box 203629
Dallas, TX 75320-0001
Phone (915) 533-3474

Other identifiers 2

IdentifierTypeStateIssuer
120147704MedicaidTX
050032760OtherTXRR MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000177 TX Practitioner - Anesthesiology 8628097599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians

Practice addresses (Care Compare)

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Las Palmas del Sol Cardiology, PLLC Past Accepting new patients
Providence Imaging Consultants, P.a. Past Accepting new patients

Locations

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1801 N Oregon St
#C
El Paso, TX 79902
Phone (915) 521-1200

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

Organizations & group practices 4

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

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1144218561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200001",
            "telephone_number": "915-533-3474",
            "fax_number": "915-544-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023524",
            "telephone_number": "915-521-1200",
            "fax_number": "866-862-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDEJA",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G1612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120147704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050032760",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.