Individual provider Active NPI

Christopher P Depalo, D.O.

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1760438238
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO1810 Issued in NV
Practice address
2451 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-5791
Phone
(702) 425-8491
Fax
(702) 304-9495
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DE4130181 OH
Ophthalmology Physician 207W00000X 4434 AZ
Ophthalmology Physician 207W00000X DO1810 NV Primary

Addresses

Primary practice location

2451 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-5791

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (702) 475-8400

Other practice location 1

6450 Medical Center St Ste 100
Las Vegas, NV 89148-2405
Phone (702) 425-8491

Other practice location 2

1470 E Calvada Blvd Ste 300
Pahrump, NV 89048-3906
Phone (702) 425-8491

Other identifiers 2

IdentifierTypeStateIssuer
1760438238MedicaidNV
105738MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131205000585 NV Practitioner - Ophthalmology 1850373093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of NevadaGroup PAC ID 6002894680, 8 clinicians

Practice addresses (Care Compare)

2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5193
Phone (702) 733-2020

Merit-based Incentive Payment System (MIPS)

Final score
90.84 of 100Reported as group
Quality
91.49
Promoting interoperability
100
Improvement activities
40
Cost
77.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1810NVMDOphthalmology Physician
DE4130181OHMDOphthalmology Physician
4434AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jack E Abrams M D Professional Corporation CurrentSince Feb 14, 2017 Accepting new patients
Eye Associates of Nevada Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Ohio State University Hospitals Past Accepting new patients
Osu Eye Physicians and Surgeons LLC Ophthalmology PastSince Sep 1, 2017 Accepting new patients

Locations

4800 N 22nd St
Ste 200
Phoenix, AZ 85016

10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020

2451 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 263-2929

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

6450 Medical Center St
Ste 100
Las Vegas, NV 89148
Phone (702) 258-2020

6710 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 733-2020

2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020

1470 E Calvada Blvd
Ste 300
Pahrump, NV 89048
Phone (775) 727-1188

Interoperability endpoints

  • Direct secure messaging: christopher.depalo.p28@direct.avp.nextgenshare.com
  • Direct secure messaging: christopher.depalo@direct.avp.nextgenshare.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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1760438238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "702-475-8400",
            "fax_number": "702-475-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525791",
            "telephone_number": "702-425-8491",
            "fax_number": "702-304-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 Medical Center St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482405",
            "country_code": "US",
            "telephone_number": "702-425-8491",
            "fax_number": "702-304-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 E Calvada Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890483906",
            "country_code": "US",
            "telephone_number": "702-425-8491",
            "fax_number": "702-304-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPALO",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "DE4130181",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "4434",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "DO1810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760438238",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105738",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.