Active NPI
Uzodinma Raphael Dim, M.D.
- Interventional Cardiology Physician
- El Paso, TX
National Provider Identifier
1194990424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- P0720
- Practice address
- 2200 George Dieter Drive
El Paso, TX 79936-3915 - Phone
- (915) 248-2434
- Fax
- (915) 248-2443
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 230246 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | P0720 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 230246 | NY | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | P0720 | TX | |
| Interventional Cardiology Physician | 207RI0011X | 230246 | NY | |
| Interventional Cardiology Physician | 207RI0011X | P0720 | TX | Primary |
Addresses
Primary practice location
2200 George Dieter Drive
El Paso, TX 79936-3915
Mailing address
2200 George Dieter Drive
El Paso, TX 79936-3915
Phone (915) 248-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286895201 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- College of Medicine and Surgery, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2200 George Dieter Dr
El Paso, TX 79936-3915
Phone (915) 248-2434
Hospital & facility affiliations
- Las Palmas Medical Center a Campus of LPDS Healthc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230246 | NY | MD | Cardiovascular Disease Physician |
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.
-
- Interventional Cardiology Physician
- El Paso, TX
- NPI 1386047298
-
- Cardiac Rehabilitation Clinic/Center
- El Paso, TX
- NPI 1689491623
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1194990424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 GEORGE DIETER DRIVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363915",
"telephone_number": "915-248-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GEORGE DIETER DRIVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363915",
"telephone_number": "915-248-2434",
"fax_number": "915-248-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIM",
"first_name": "UZODINMA",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "230246",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "P0720",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NY",
"license": "230246",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "P0720",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "230246",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "P0720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286895201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.