Individual provider Active NPI

Sajeev Rajan Ezhapilli Chennan, M.D

  • Diagnostic Radiology Physician
  • El Paso, TX
National Provider Identifier
1790051597
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S1088 Issued in TX
Practice address
4815 Alameda Ave Dept of
El Paso, TX 79905-2705
Phone
(915) 545-8823
Fax
(915) 545-9799
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X S1088 TX Primary

Addresses

Primary practice location

4815 Alameda Ave Dept of
El Paso, TX 79905-2705

Mailing address

4815 Alameda Ave Dept of
El Paso, TX 79905-2705
Phone (915) 545-8823

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113002898 TX Practitioner - Diagnostic Radiology 5890944110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Radiology Consultants PLLCGroup PAC ID 6709868409, 120 clinicians

Practice addresses (Care Compare)

1405 W Jefferson St
Baylor Medical Ctr
Waxahachie, TX 75165-2231
Phone (972) 923-7000

1441 S Midlothian Pkwy
Suite 100
Midlothian, TX 76065-5592
Phone (214) 820-3216

1545 E Southlake Blvd
Harris Methodist Hospital Southlake
Southlake, TX 76092-6422
Phone (817) 748-8700

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV, LLP CurrentSince Aug 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2018 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2024 Accepting new patients
Blue Stone JV LLP CurrentSince Oct 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2018 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Baylor University Medical Center Past Accepting new patients
Btdi JV, LLP PastSince Aug 1, 2023 Accepting new patients

Locations (25 of 40)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

3500 Gaston Ave
Dallas, TX 75246

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

7777 Forest Ln
Ste D100
Dallas, TX 75230

3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797

3920 Worth St
Dallas, TX 75246
Phone (214) 443-3000

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

3900 Junius St
Ste 100
Dallas, TX 75246
Phone (214) 820-6900

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

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

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2000 Transmountain Rd
Ste A
El Paso, TX 79911
Phone (915) 215-4956

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

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

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

1450 8th Ave
Ft Worth, TX 76104
Phone (817) 702-8300

1643 Lancaster Dr
Ste 202
Grapevine, TX 76051
Phone (817) 251-9080

4501 Joe Ramsey Blvd E
Ste 120
Greenville, TX 75401
Phone (903) 201-6688

2121 Pease St
Ste 101
Harlingen, TX 78550
Phone (956) 364-6735

Interoperability endpoints

  • Direct secure messaging: sajeev.ezhapillichennan@direct.myhealthep.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 12

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1790051597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE DEPT OF",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-545-8823",
            "fax_number": "915-545-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE DEPT OF",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-545-8823",
            "fax_number": "915-545-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZHAPILLI CHENNAN",
        "first_name": "SAJEEV",
        "middle_name": "RAJAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.