Active NPI
Christopher P Depalo, D.O.
- Ophthalmology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- DO1810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760438238 | Medicaid | NV | |
| 105738 | Medicaid | AZ |
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
Enrollment records 1
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
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 100
- 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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1810 | NV | MD | Ophthalmology Physician |
| DE4130181 | OH | MD | Ophthalmology Physician |
| 4434 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack E Abrams M D Professional Corporation | Current | Accepting new patients | |
| Eye Associates of Nevada | Ophthalmology | Current | Accepting new patients |
| Ohio State University Hospitals | Past | Accepting new patients | |
| Osu Eye Physicians and Surgeons LLC | Ophthalmology | Past | 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
- christopher.depalo.p28@direct.avp.nextgenshare.com
- 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.
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1801843685
-
- Ophthalmologic Surgery Clinic/Center
- Las Vegas, NV
- NPI 1881611887
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1568439784
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1861437923
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.