Active NPI
John Oruyopita Dimowo, M.D.
- Pain Medicine (Anesthesiology) Physician
- El Paso, TX
National Provider Identifier
1639246754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- K4883
- Practice address
- 11930 Vista del Sol Dr
Ste.B
El Paso, TX 79936-6123 - Phone
- (915) 430-3439
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A52501 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | K4883 | TX | Primary |
Addresses
Primary practice location
11930 Vista del Sol Dr
Ste.B
El Paso, TX 79936-6123
Mailing address
5959 Gateway Blvd W
Ste. 120
El Paso, TX 79925-3331
Phone (915) 779-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A525010 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3333 Concours
Suite 4202
Ontario, CA 91764-6575
5 Holland
Suite 101
Irvine, CA 92618-2566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52501 | CA | MD | General Practice Dentistry |
| A52501 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Urgent Care | Past | Accepting new patients | |
| Gary Chinghuei Kao MD Inc | Anesthesiology | Past | Accepting new patients |
| Unicom Anesthesia Associates, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
-
- Anesthesiology Physician
- Garden Grove, CA
- NPI 1063647774
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1649232299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1639246754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 GATEWAY BLVD W",
"address_2": "STE. 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253331",
"telephone_number": "915-779-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 VISTA DEL SOL DR",
"address_2": "STE.B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366123",
"telephone_number": "915-430-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMOWO",
"first_name": "JOHN",
"middle_name": "ORUYOPITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A52501",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "K4883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A525010",
"state": "CA"
}
],
"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 Mar 9, 2017; 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.