Ian Mardis, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018941 Issued in TX

Practice address

12528 Tierra Encino Dr
El Paso, TX 79938-4525

Phone

(915) 867-7097

NPI assigned

Nov 5, 2020

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bhaskar Rao, MD, PAGroup PAC ID 5395018972, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as group

Quality

76.13

Improvement activities

40

Cost

69.23

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bhaskar Rao, MD, PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1851812333
  Medicare reassignment Care Compare group NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  TX

  Medicare reassignment NPD

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

• El Paso Healthcare System LTD

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  Care Compare affiliation

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1518568419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 TIERRA ENCINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 TIERRA ENCINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384525",
            "telephone_number": "915-867-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIS",
        "first_name": "IAN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Marie Marchiano, C.R.N.A.
• Alondra Marcial Marrufo
• Marcos Calderon., M.D. P.a.
• Marcos Calderon., M.D. P.a.
• Mardav Inc
• Abrie Maree
• Monica Mares, MSN, APRN, FNP-C
• Monica Mares
• Ruben Mares III, FNP
• Angela Marez

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.