Individual provider Active NPI

Carlos Desir Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1790714772
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
715008 Issued in TX
Practice address
4800 Alberta Ave
Ste. 101
El Paso, TX 79905-2709
Phone
(915) 545-6550
Fax
(915) 545-6984
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11014152 FL
Certified Registered Nurse Anesthetist 367500000X 0024178638 VA
Certified Registered Nurse Anesthetist 367500000X 715008 TX Primary

Addresses

Primary practice location

4800 Alberta Ave
Ste. 101
El Paso, TX 79905-2709

Mailing address

1108 Cerrito Bajo LN
El Paso, TX 79912-2055
Phone (915) 526-6280

Other practice location 1

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other identifiers 3

IdentifierTypeStateIssuer
178511501MedicaidTX
85416UOtherTXBCBS
455050056MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, VA, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050920000392 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274586797 Reassigns benefits to 2 organizations
I20210915001912 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274586797 Reassigns benefits to 1 organization
I20220121001064 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274586797 Reassigns benefits to 4 organizations
I20220314001339 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274586797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Anesthesia Services, LLC 124 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11014152FLMDCertified Registered Nurse Anesthetist
715008TXMDCertified Registered Nurse Anesthetist
0024178638VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 10, 2019 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Dec 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 10, 2019 Accepting new patients
Valley Health Anesthesia Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Aug 5, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Dec 1, 2021 Accepting new patients
Anesthesia Associates of El Paso PA CurrentSince Jul 1, 2014 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Anesthesiology of Greenwood PA PastSince Apr 1, 1993 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients
Texas Anesthesia Specialists PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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

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

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4800 Alberta Ave
Ste 101
El Paso, TX 79905
Phone (915) 215-4478

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1790714772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 CERRITO BAJO LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122055",
            "telephone_number": "915-526-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ALBERTA AVE",
            "address_2": "STE. 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052709",
            "telephone_number": "915-545-6550",
            "fax_number": "915-545-6984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIR",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11014152",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024178638",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "715008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178511501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85416U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455050056",
            "state": "FL"
        }
    ],
    "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 May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.