Individual provider Active NPI

Roberto Ontiveros, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1699387308
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
790864 Issued in TX
Practice address
1801 N Oregon St
El Paso, TX 79902-3524
Phone
(915) 521-1200
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 790864 TX Primary
Registered Nurse 163W00000X 790864 TX

Addresses

Primary practice location

1801 N Oregon St
El Paso, TX 79902-3524

Mailing address

7810 Enchanted Cliff Dr
El Paso, TX 79911-7508
Phone (602) 618-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210423000384 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961810312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians

Practice addresses (Care Compare)

1815 N Stanton St
El Paso, TX 79902-3511
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
790864TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2021 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2021 Accepting new patients

Locations

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

820 E Redd Rd
Bldg C
El Paso, TX 79912
Phone (915) 352-2100

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1699387308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 ENCHANTED CLIFF DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117508",
            "telephone_number": "602-618-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023524",
            "telephone_number": "915-521-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "ROBERTO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "790864",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "790864",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.