Uzodinma Raphael Dim MD, PA

Primary specialty

Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X

Legal business name

UZODINMA RAPHAEL DIM MD, PA

Practice address

2200 George Dieter Dr Ste B
El Paso, TX 79936-3915

Phone

(915) 248-2434

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

UZODINMA RAPHAEL DIM MD, PAAs reported in NPPES

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

Authorized official

Name

Uzodinma Raphael Dim, MDNPI 1194990424

Title

President

Phone

(915) 248-2434

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Uzodinma Raphael Dim MD, PA

  dba International CardioVascular

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1386047298

  4688971575

  Same PAC ID

Tax ID family

Uzodinma Raphael Dim MD PA2 organizations share this tax ID, including this one

Part of

Uzodinma Raphael Dim MD PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Uzodinma Raphael Dim MD, PA

  dba International CardioVascular

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1386047298
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Uzodinma Raphael Dim MD, PA

  dba International CardioVascular

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1386047298
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uzodinma Raphael Dim, M.D.

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1194990424
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1689491623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363915",
            "telephone_number": "915-248-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GEORGE DIETER DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363915",
            "telephone_number": "915-248-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UZODINMA RAPHAEL DIM MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UZODINMA RAPHAEL DIM MD, PA",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "DIM",
        "authorized_official_first_name": "UZODINMA",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-248-2434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Usher, PH.D.
• Rukayat A Usman, PHARMD.
• Usv Optical Inc
• Frederick S Utter, CRNA
• Uzodinma Raphael Dim MD, PA (International CardioVascular)
• V & V Group, Inc (US National Personal Care)
• V Helena Vadi Latiff MD PA
• VA Clinic
• Liliana Vacio, LPC-S, LCDC
• V Helena Vadi-Latiff, M.D.

• Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.