Theodore Affue, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G85320 Issued in CA

Practice address

2061 Ross Ave
Suite a
El Centro, CA 92243-3687

Phone

(760) 353-8181

Fax

(760) 353-8282

NPI assigned

Jul 5, 2006

Last updated

May 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Urology

Education

University of Chicago, Pritzker School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
• Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score

88.73 of 100Reported as apm

Quality

83.66

Promoting interoperability

73

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFIDBA/Endpoint/IFIDBA

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.

• Theodore Affue M D Inc

  • Urology Physician
  • El Centro, CA
  • NPI 1316033459
  Medicare reassignment Authorized official
• Imperial Valley Multi-Specialty Medical Group, Inc.

  • Specialist
  • El Centro, CA
  • NPI 1700277647
  Medicare reassignment NPD
• El Centro Regional Medical Center

  dba Calexico Outpatient Center

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1598840258
  NPD (past)
• James M. Roach M.D.

  • Urology Physician
  • El Centro, CA
  • NPI 1063625044
  NPD (past)
• Pioneers Memorial Healthcare District

  dba Calexico Health Center RHC

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1437122769
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation
• Imperial Valley Healthcare District

  dba Pioneers Memorial Hospital

  • General Acute Care Hospital
  • Brawley, CA
  • NPI 1184429185
  Care Compare affiliation
• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1386674000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 ROSS AVE",
            "address_2": "SUITE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433687",
            "telephone_number": "760-353-8181",
            "fax_number": "760-353-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 ROSS AVE",
            "address_2": "SUITE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433687",
            "telephone_number": "760-353-8181",
            "fax_number": "760-353-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFUE",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G85320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G853200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.