Active NPI
Charles I Pittle, DPM
- Podiatrist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161069301 | Medicaid | TX |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4700
Phone (915) 598-3338
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 183 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1643 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBV PLLC | Podiatrist | Current | Accepting new patients |
| Ryan K Anderson D P M P C | Podiatrist | Current | Accepting new patients |
| MBV PLLC | Podiatrist | Current | Accepting new patients |
| Foot & Ankle Podiatry of El Paso PC | Past | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- The Woodlands, TX
- NPI 1396186904
-
- Podiatrist
- Huntsville, TX
- NPI 1063290112
-
- Foot & Ankle Surgery Podiatrist
- El Paso, TX
- NPI 1861877870
-
- Foot & Ankle Surgery Podiatrist
- El Paso, TX
- NPI 1306284492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.