Individual provider Active NPI

Louis Max Alpern, M.D.

  • Specialist
  • El Paso, TX
National Provider Identifier
1295798304
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E9511 Issued in TX
Practice address
4171 N Mesa St
BLDG D-100
El Paso, TX 79902-1444
Phone
(915) 545-2333
Fax
(915) 521-4564
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E9511 TX Primary

Addresses

Primary practice location

4171 N Mesa St
BLDG D-100
El Paso, TX 79902-1444

Mailing address

4171 N Mesa St
Ste D100
El Paso, TX 79902-1400
Phone (915) 545-2333

Other identifiers 1

IdentifierTypeStateIssuer
114544303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110222000692 TX Practitioner - Ophthalmology 5395798391 Reassigns benefits to 1 organization
I20211019000676 NM Practitioner - Ophthalmology 5395798391 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Ellman, M.D., P.a. CurrentSince Oct 1, 2020 Accepting new patients
La Mente Behavioral Health LLC PastSince Aug 21, 2020 Accepting new patients
Southwest Eye Institute, Inc. Past Accepting new patients

Locations

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

2301 Saturn Cir
Las Cruces, NM 88012
Phone (575) 382-0014

4171 N Mesa St
Ste D100
El Paso, TX 79902
Phone (915) 267-2020

1030 N Zaragoza Rd
Ste D
El Paso, TX 79907
Phone (915) 267-2020

1400 Common Dr
El Paso, TX 79936
Phone (915) 267-2020

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1295798304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 N MESA ST",
            "address_2": "STE D100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021400",
            "telephone_number": "915-545-2333",
            "fax_number": "915-521-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 N MESA ST",
            "address_2": "BLDG D-100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021444",
            "telephone_number": "915-545-2333",
            "fax_number": "915-521-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERN",
        "first_name": "LOUIS",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E9511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114544303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.