Individual provider Active NPI

Joseph Ghitis, MD

  • Diagnostic Radiology Physician
  • Shavano Park, TX
National Provider Identifier
1386852911
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q8484 Issued in TX
Practice address
311 Pagoda Oak
Shavano Park, TX 78230-5619
Phone
(804) 502-7363
NPI assigned
May 18, 2007
Last updated
Jul 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME106580 FL
Diagnostic Radiology Physician 2085R0202X 49963 KY
Diagnostic Radiology Physician 2085R0202X Q8484 TX Primary

Addresses

Primary practice location

311 Pagoda Oak
Shavano Park, TX 78230-5619

Mailing address

PO Box 950131
Louisville, KY 40295-0131
Phone (502) 804-4766

Other identifiers 4

IdentifierTypeStateIssuer
49963OtherKYKENTUCKY LICENSE
ME106580OtherFLFLORIDA LICENCE
Q8484OtherTXTEXAS LICENSE
002304500MedicaidFL

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
I20170530002227 TX Practitioner - Diagnostic Radiology 8921131038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Outpatient Imaging Partnership LTDGroup PAC ID 5698729044, 13 clinicians

Practice addresses (Care Compare)

6065 Montana Ave
Suite A6
El Paso, TX 79925-1837
Phone (915) 881-1900

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
78.29
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Outpatient Imaging Partnership LTD Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Compass Peak Imaging, LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

120 Midland Ave
Ste 260
Glenwood Springs, CO 81601
Phone (970) 665-2194

1426 George Dieter Dr
El Paso, TX 79936

6065 Montana Ave
Ste A6
El Paso, TX 79925

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1386852911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950131",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950131",
            "telephone_number": "502-804-4766",
            "fax_number": "775-852-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PAGODA OAK",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782305619",
            "telephone_number": "804-502-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHITIS",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME106580",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "49963",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q8484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY LICENSE",
            "identifier": "49963",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENCE",
            "identifier": "ME106580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "Q8484",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002304500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.