Ralph Cepero, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G4903 Issued in TX

Practice address

540 W 5TH St
Suite 410
Odessa, TX 79761-5034

Phone

(432) 333-8808

Fax

(432) 333-8136

NPI assigned

Mar 10, 2006

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, ND2 enrollments

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 2

Specialty

Otolaryngology

Education

Baylor College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie County Healthcare Systems Inc Hospital, Watford City, ND, CCN 351302

Merit-based Incentive Payment System (MIPS)

Final score

79.78 of 100Reported as group

Quality

60.9

Promoting interoperability

100

Improvement activities

40

Cost

66.21

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McKenzie County Healthcare Systems Inc

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1396516506
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948

  Otolaryngology

  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Family Medicine Physician
  • Minot, ND
  • NPI 1053127548
  NPD
• Raphael E Nwojo MD PA

  dba West Texas Ear, Nose, Throat and Sinus Institute

  • Otolaryngology Physician
  • Odessa, TX
  • NPI 1831654045
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Family Medicine Physician
  • Williston, ND
  • NPI 1295568376

  Otolaryngology

  NPD (past)
• McKenzie County Healthcare Systems Inc

  dba McKenzie County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Watford City, ND
  • NPI 1427079854
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948
  Care Compare affiliation

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1952379414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 410",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-333-8808",
            "fax_number": "432-333-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 410",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-333-8808",
            "fax_number": "432-333-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPERO",
        "first_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G4903",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G4903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752245657",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130291105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Castillorx, LLC (University Pharmacy)
• Irene C Cawi, NURSE PRACTITIONER
• Guillermo Nicolas Cazares, MD
• Suzanne Cearley, CPCP-PC
• Maria G Ceballos, O.D.
• Certified CC Opticians (Public Wholesale Optical)
• Monica Cervantes, DPM
• Kalyan Chakrala, D.O.
• John J Challapalli, MD
• Kris Challapalli, MD

• Otolaryngology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.

Verify at the official NPI Registry.