Active NPI
George M Massoud, MD
- Cardiovascular Disease Physician
- Alamogordo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2003-0490
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009932256 | Medicaid | AL | |
| 2003-0490 | Other | NM | NM 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23341 | AL | MD | Pharmacist |
| MD38877 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current | Accepting new patients | |
| Otero County Hospital Association | Current | 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 | Past | 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.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.