Individual provider Active NPI

Charles I Pittle, DPM

  • Podiatrist
  • El Paso, TX
National Provider Identifier
1750352449
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1643 Issued in TX
Practice address
1225 E Cliff Dr Ste 2a
El Paso, TX 79902-4700
Phone
(915) 598-3338
Fax
(915) 598-3339
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1643 TX Primary

Addresses

Primary practice location

1225 E Cliff Dr Ste 2a
El Paso, TX 79902-4700

Mailing address

1225 E Cliff Dr Ste 2a
El Paso, TX 79902-4700
Phone (915) 598-3338

Other identifiers 1

IdentifierTypeStateIssuer
161069301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000957 TX Practitioner - Podiatry 8224132832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4700
Phone (915) 598-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue183
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1643TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC Podiatrist CurrentSince Aug 3, 2025 Accepting new patients
Ryan K Anderson D P M P C Podiatrist CurrentSince May 27, 2024 Accepting new patients
MBV PLLC Podiatrist CurrentSince Aug 3, 2025 Accepting new patients
Foot & Ankle Podiatry of El Paso PC PastSince Oct 1, 2015 Accepting new patients
Foot and and Ankle Podiatry of Texas Past Accepting new patients

Locations

11613 N Central Expy
Ste 121
Dallas, TX 75243
Phone (214) 691-0760

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

1225 E Cliff Dr
Ste 2A
El Paso, TX 79902
Phone (915) 533-1622

1721 N Lee Trevino Dr
Ste 103
El Paso, TX 79936
Phone (915) 433-8185

10500 Vista del Sol Dr
Ste A
El Paso, TX 79925
Phone (915) 592-2634

1618 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 990-1345

9701 N Sam Houston Pkwy E
Ste 150
Humble, TX 77396
Phone (281) 973-5237

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (866) 680-9355

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Interoperability endpoints

  • Direct secure messaging: charles.pittle.1@9380.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1750352449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E CLIFF DR STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024700",
            "telephone_number": "915-598-3338",
            "fax_number": "915-598-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E CLIFF DR STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024700",
            "telephone_number": "915-598-3338",
            "fax_number": "915-598-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTLE",
        "first_name": "CHARLES",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161069301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.