San Miguel Hospital Corporation
A Medicare group practice based in Las Vegas, NM: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8921097502), with 30 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921097502
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NM
- Enrollments
- 4
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050421000171 | NM | Part B Supplier - Clinic/Group Practice | 1851747216 |
| O20230206001980 | NM | Part A Provider - Critical Access Hospital | 1114639234 |
| O20231025001625 | NM | Part A Provider - Hospital | 1598537862 |
| O20181220000073 | NM | Part A Provider - Rural Health Clinic | 1184193450 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
San Miguel Hospital Corporation
dba Alta Vista Regional Hospital
- Critical Access Hospital
- Las Vegas, NM
- NPI 1114639234
-
San Miguel Hospital Corporation
dba Alta Vista Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Las Vegas, NM
- NPI 1598537862
-
San Miguel Hospital Corporation
dba Alta Vista Regional Hospital
- Certified Registered Nurse Anesthetist
- Las Vegas, NM
- NPI 1609041706
Practice locations
- Las Vegas, NM4
Clinicians 30
Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (2).
-
David A Alcindor, M.D.
- Family Medicine Physician
- McConnell AFB, KS
- NPI 1609863000
-
Susan M Austin, M.D.
- Orthopaedic Surgery Physician
- Wenatchee, WA
- NPI 1659374767
-
John Andrew Brooks, M.D.
- Emergency Medicine Physician
- Saratoga, WY
- NPI 1528208097
-
Darnell J Brown, M.D., MPH
- Surgery Physician
- Boston, MA
- NPI 1366754616
-
Patrick A Craddock, MD
- Emergency Medicine Physician
- Albuquerque, NM
- NPI 1477518710
-
Michael Dunkle, NP-C
- Family Nurse Practitioner
- Greenwood Village, CO
- NPI 1306389846
-
Asuquo A Esuabana, MD
- Family Medicine Physician
- Prosser, WA
- NPI 1710096615
-
Eugene K Gicheru, MD
- Emergency Medicine Physician
- Dallas, TX
- NPI 1134144132
-
James O Gonzales, MD
- Family Medicine Physician
- Albuquerque, NM
- NPI 1730507955
-
Colin James Henderson, MD
- Family Medicine Physician
- La Jara, CO
- NPI 1982720348
-
Allan Tilden Herman, MD
- Emergency Medicine Physician
- Las Vegas, NM
- NPI 1326604851
-
Ralph Edward Holsworth Jr., D.O.
- Family Medicine Physician
- Springfield, CO
- NPI 1881654150
-
Abdullah Jawad, M.D.
- Surgery Physician
- Scottsdale, AZ
- NPI 1285167965
-
Kelly Lopez, FPN
- Family Nurse Practitioner
- Belen, NM
- NPI 1861855785
-
Evisencia G Mathurin, DNP
- Family Nurse Practitioner
- Port Charlotte, FL
- NPI 1407472129
-
Franklin Miller, M.D.
- Internal Medicine Physician
- Las Vegas, NM
- NPI 1659375194
-
Susan Lee Miller, MD
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1538262407
-
Wietske Willemsma Moore, CFNP
- Family Nurse Practitioner
- Washington, DC
- NPI 1235291394
-
Frederic Leland Ondovchak, R.N., M.S.N., A.P.R.
- Family Nurse Practitioner
- Dewey, AZ
- NPI 1932503802
-
Raymond F. Ortiz, MD
- Internal Medicine Physician
- Las Vegas, NM
- NPI 1497708754
-
Alicia A Padilla, FNP
- Family Nurse Practitioner
- Las Vegas, NM
- NPI 1497492912
-
David Alexander Phillips, MD
- Family Medicine Physician
- Santa Rosa, NM
- NPI 1720576887
-
Tracy Cole Ratzlaff, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NM
- NPI 1285736314
-
Frank Reedus III
- Family Nurse Practitioner
- Nashville, TN
- NPI 1659822294
-
Darcy Marie Rumberger Denegre
- Emergency Medicine Physician
- Durango, CO
- NPI 1659683548
-
Jesus Tafoya, M.D.
- Family Medicine Physician
- Las Vegas, NM
- NPI 1992118145
-
Christine C Tardif, MD
- Family Medicine Physician
- Parker, AZ
- NPI 1437133428
-
Shakiera Monique Whyte Henry, FNP-C
- Family Nurse Practitioner
- Henderson, NC
- NPI 1265905780
-
Roderick Woods, MD
- Cardiovascular Disease Physician
- Belen, NM
- NPI 1306929633
-
Elchin Farman Zeynalov, M.D.
- Internal Medicine Physician
- Rio Rancho, NM
- NPI 1437499365
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.