Clarence Anthony Pitre, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J7833 Issued in TX

Practice address

10470 Vista del Sol Ste 208
Suite 401
El Paso, TX 79925

Phone

(915) 590-7773

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10488/brand/1/csg/1/fhir/r4

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.

• Clarence Pitre MD PA

  • Specialist
  • El Paso, TX
  • NPI 1376752733
  NPD (past)
• Manuel D Lopez MD PA

  • Nephrology Physician
  • El Paso, TX
  • NPI 1316120116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1821174897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 VISTA DEL SOL DR STE 208",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257928",
            "telephone_number": "915-590-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 VISTA DEL SOL STE 208",
            "address_2": "SUITE 401",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-590-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRE",
        "first_name": "CLARENCE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096266404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Linda Piotrowski, M.A., SLP
• Miguel A. Pirela-Cruz, M.D.
• Paisith Piriyawat, M.D.
• Frederick Walter Pirk, DDS MS
• Larisa Ito Pitchkolan
• Melba Mozelle Pittard, OT
• Charles I Pittle, DPM
• Gabriel Pizano
• Joemarys Alexandra Pizarro Acosta
• Amy Marie Pizzuti Brown, IBCLC

• Specialist in El Paso, TX
• Providers in El Paso, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.