Individual provider Active NPI

Luis Omar Chavez, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1295224905
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T8505 Issued in TX
Practice address
292 Euclid Ave Ste 115
San Diego, CA 92114-3629
Phone
(619) 266-3332
NPI assigned
May 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A194589 CA
Internal Medicine Physician 207R00000X T8505 TX Primary

Addresses

Primary practice location

292 Euclid Ave Ste 115
San Diego, CA 92114-3629

Mailing address

292 Euclid Ave Ste 115
San Diego, CA 92114-3629
Phone (619) 266-3332

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230411002764 TX Practitioner - Internal Medicine 9537534235 Reassigns benefits to 2 organizations
I20240515000036 CA Practitioner - Internal Medicine 9537534235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Associates IncGroup PAC ID 9436052164, 7 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

292 Euclid Ave
Suite 115
San Diego, CA 92114-3629
Phone (619) 266-3332

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Paradise Valley Hospital Hospital, National City, CA, CCN 050024

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
76.01
Improvement activities
40
Cost
87.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy166
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T8505TXMDInternal Medicine Physician
A194589CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Aug 7, 2024 Accepting new patients
Digestive Disease Associates, Inc Gastroenterology CurrentSince Jun 3, 2024 Accepting new patients

Locations

296 H St
Ste 301
Chula Vista, CA 91910

296 H St
Chula Vista, CA 91910
Phone (619) 331-1111

2732 Navajo Rd
Ste 200
El Cajon, CA 92020
Phone (619) 287-7246

292 Euclid Ave
Ste 115
San Diego, CA 92114
Phone (619) 266-3332

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: luis.chavez@direct.myhealthep.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1295224905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 EUCLID AVE STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143629",
            "telephone_number": "619-266-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 EUCLID AVE STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143629",
            "telephone_number": "619-266-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "LUIS",
        "middle_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A194589",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.