NPIMap

Individual provider Active NPI

Charles R De Jesus Morales, MD

  • Diagnostic Radiology Physician
  • El Paso, TX
National Provider Identifier
1710388681
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T1045 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-6000
Fax
(915) 545-6607
NPI assigned
Sep 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X T1045 TX
Diagnostic Radiology Physician 2085R0202X T1045 TX Primary

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

5001 El Paso Drive CSB-A02
Ttuhsc Radiology DPT.
El Paso, TX 79905
Phone (915) 215-6456

Other practice location 1

4055 Valley View Lane
CenseoHealth
Dallas, TX 75244
Phone (877) 868-5351

Other practice location 2

5001 El Paso Drive CSB-A02
TTUHSC Radiology Dpt.
El Paso, TX 79905
Phone (915) 215-6456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230709000059 TX Practitioner - Diagnostic Radiology 2365801339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

14832 David Latin Ave
El Paso, TX 79938-2212
Phone (832) 434-2260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients

Locations

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • Direct secure messaging: cdejesusmorales705677@ahs.direct-ci.com
  • Direct secure messaging: charles.dejesus@direct.myhealthep.org

Organizations & group practices 5

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 6

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1710388681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 EL PASO DRIVE CSB-A02",
            "address_2": "TTUHSC RADIOLOGY DPT.",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-215-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-6000",
            "fax_number": "915-545-6607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Valley View Lane",
            "address_2": "CenseoHealth",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75244",
            "country_code": "US",
            "telephone_number": "877-868-5351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 El Paso Drive CSB-A02",
            "address_2": "TTUHSC Radiology Dpt.",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79905",
            "country_code": "US",
            "telephone_number": "915-215-6456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS MORALES",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2023-06-26",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "T1045",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.