Individual provider Active NPI

George M Massoud, MD

  • Cardiovascular Disease Physician
  • Alamogordo, NM
National Provider Identifier
1003800988
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2003-0490 Issued in NM
Practice address
2559 N Scenic Dr
Suite F
Alamogordo, NM 88310
Phone
(575) 434-3225
Fax
(575) 434-8671
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD38877 TN
Cardiovascular Disease Physician 207RC0000X 23341 AL
Cardiovascular Disease Physician 207RC0000X 2003-0490 NM Primary

Addresses

Primary practice location

2559 N Scenic Dr
Suite F
Alamogordo, NM 88310

Mailing address

2579 North Scenic Drive
Alamogordo, NM 88310-9740
Phone (575) 434-3225

Other identifiers 2

IdentifierTypeStateIssuer
009932256MedicaidAL
2003-0490OtherNMNM LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20060203000108 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517993561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23341ALMDPharmacist
MD38877TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Nov 1, 2008 Accepting new patients
Otero County Hospital Association CurrentSince Nov 1, 2008 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients
Las Cruces Physician Services LLC PastSince May 1, 2007 Accepting new patients

Locations

2559 Medical Dr
Ste 2200
Alamogordo, NM 88310
Phone (575) 446-5200

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2579 Scenic Dr
Alamogordo, NM 88310
Phone (575) 446-5122

400 N Pennsylvania Ave
Ste 570
Roswell, NM 88201
Phone (575) 434-0159

Networks

  • CO HMO D-SNP
  • CO HMO
  • NM HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • TX HMO
  • TX HMO D-SNP

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1003800988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 NORTH SCENIC DRIVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883109740",
            "telephone_number": "575-434-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 N SCENIC DR",
            "address_2": "SUITE F",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "575-434-3225",
            "fax_number": "575-434-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUD",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD38877",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "23341",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "2003-0490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932256",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "2003-0490",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.