Individual provider Active NPI

John Oruyopita Dimowo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • El Paso, TX
National Provider Identifier
1639246754
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
K4883 Issued in TX
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

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A525010MedicaidCA

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
Green means eligible to order or refer.

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52501CAMDGeneral Practice Dentistry
A52501CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.