Individual provider Active NPI

Alireza Daneshpajouh, D.O.

  • Vascular Surgery Physician
  • El Paso, TX
National Provider Identifier
1386059178
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
T3759 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-5300
Fax
(915) 215-8606
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T3759 TX
Student in an Organized Health Care Education/Training Program 390200000X U04302 FL
Vascular Surgery Physician 2086S0129X T3759 TX Primary

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4480

Other practice location 1

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7761

Other practice location 2

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DE2 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
I20211213000677 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 1759771421 Reassigns benefits to 2 organizations
I20241022000256 DE Practitioner - General SurgeryPractitioner - Vascular Surgery 1759771421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

Hospital & facility affiliations

  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal164
Leg revascularization (restoring blood flow)97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U04302FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 1, 2022 Accepting new patients
Umc El Paso Healthcare Inc Vascular Surgery CurrentSince May 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 1, 2022 Accepting new patients
Cardiology Physicians, LLC CurrentSince Oct 7, 2024 Accepting new patients
Texas Tech University Health Sciences Center Odessa Surgery Past Accepting new patients

Locations

1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658

701 N Clayton St
#601
Wilmington, DE 19805
Phone (302) 575-8368

910 Foulk Rd
Wilmington, DE 19803
Phone (302) 477-1536

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000

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

10410 Vista del Sol Dr
El Paso, TX 79925
Phone (915) 200-2680

Interoperability endpoints

  • Direct secure messaging: alirezadaneshpajouh@cppa.allscriptsdirect.net
  • Direct secure messaging: adaneshpajouh3675860@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alireza.daneshpajouh.p3@direct.chv.nextgenshare.com

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 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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1386059178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYNOLDS ST # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051613",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-5300",
            "fax_number": "915-215-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-284-7761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5300",
            "fax_number": "915-215-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANESHPAJOUH",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T3759",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "U04302",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "T3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.