Individual provider Active NPI

Louis C Redix Jr., MD

  • Orthopaedic Surgery Physician
  • Barstow, CA
National Provider Identifier
1215967609
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G44785 Issued in CA
Practice address
525 Melissa Ave Ste a
Barstow, CA 92311-3002
Phone
(760) 256-0308
NPI assigned
Jul 3, 2006
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G44785 CA Primary

Addresses

Primary practice location

525 Melissa Ave Ste a
Barstow, CA 92311-3002

Mailing address

PO Box 819
Barstow, CA 92312-0819
Phone (760) 242-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100309000118 CA Practitioner - Orthopedic Surgery 2961547435 Reassigns benefits to 2 organizations
Practice locations: Barstow, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Irvine, California College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrison Multi-Specialties Companies IncGroup PAC ID 6002244506, 5 clinicians

Practice addresses (Care Compare)

3633 Camino del Rio S
Suite 300
San Diego, CA 92108-4014
Phone (619) 287-9730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44785CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Sports & Orthopaedics Orthopaedic Surgery CurrentSince Oct 4, 2010 Accepting new patients
Morrison Multi-Specialties Companies Inc CurrentSince Jan 1, 2020 Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients
Windy City Medical Clinic Professional Corporation PastSince Oct 31, 2007 Accepting new patients
High Desert Limb Salvage Institute Podiatrist Corp Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

18523 Corwin Rd
Ste D
Apple Valley, CA 92307
Phone (760) 242-8238

441 W State St
El Centro, CA 92243
Phone (760) 337-2949

3633 Camino del Rio S
Ste 300
San Diego, CA 92108
Phone (619) 287-0404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: louiis.redix.1@10718.direct.athenahealth.com
  • Direct secure messaging: louis.redix.1@10718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10718/brand/3/csg/1/fhir/r4
  • Direct secure messaging: lredix01@yourcarecommunity.org

Organizations & group practices 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1215967609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923120819",
            "telephone_number": "760-242-4808",
            "fax_number": "760-242-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MELISSA AVE STE A",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113002",
            "telephone_number": "760-256-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDIX",
        "first_name": "LOUIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G44785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.