Individual provider Active NPI

S Claudia Didia, M.D.

  • Internal Medicine Physician
  • El )Paso, TX
National Provider Identifier
1356385355
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M5132 Issued in TX
Practice address
4801 Alberta Ave.
El )Paso, TX 79905
Phone
(915) 215-4478
Fax
(915) 545-5755
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M5132 TX Primary

Addresses

Primary practice location

4801 Alberta Ave.
El )Paso, TX 79905

Mailing address

PO Box 9520
El Paso, TX 79995-9520
Phone (915) 215-4478

Other identifiers 2

IdentifierTypeStateIssuer
177968801MedicaidTX
8P0283OtherTXBCBS OF TEXAS

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
I20060118000842 TX Practitioner - Internal Medicine 4082631577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

Practice addresses (Care Compare)

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5900

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5900

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-4956

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5132TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 1, 2006 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Internal Medicine Past Accepting new patients
El Paso County Hospital District Past Accepting new patients

Locations

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Organizations & group practices 5

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1356385355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799959520",
            "telephone_number": "915-215-4478",
            "fax_number": "915-545-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE.",
            "city": "EL )PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-4478",
            "fax_number": "915-545-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIA",
        "first_name": "S",
        "middle_name": "CLAUDIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177968801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8P0283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El )Paso, TX

Sources for this page

Verify at the official NPI Registry.