Individual provider Active NPI

Violeta Radenovich, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • El Paso, TX
National Provider Identifier
1467463562
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
K0160 Issued in TX
Practice address
1250 E Cliff Dr Ste 4D
El Paso, TX 79902-4846
Phone
(915) 577-9339
Fax
(915) 541-1237
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X K0160 TX
Ophthalmology Physician 207W00000X K0160 TX
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X K0160 TX Primary

Addresses

Primary practice location

1250 E Cliff Dr Ste 4D
El Paso, TX 79902-4846

Mailing address

1250 E Cliff Dr Ste 4D
El Paso, TX 79902-4846
Phone (915) 577-9339

Other identifiers 1

IdentifierTypeStateIssuer
K0160OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Violeta Radenovich, MD, MPH, PA Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vradenovich@cecelpaso.intellechartdirect.net

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1467463562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 4D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024846",
            "telephone_number": "915-577-9339",
            "fax_number": "915-541-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 4D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024846",
            "telephone_number": "915-577-9339",
            "fax_number": "915-541-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADENOVICH",
        "first_name": "VIOLETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "TX",
            "license": "K0160",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K0160",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "TX",
            "license": "K0160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "K0160",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.