Individual provider Active NPI

Paul F Engstrom, M.D.

  • Ophthalmology Physician
  • Roswell, NM
National Provider Identifier
1003884602
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2000-181 Issued in NM
Practice address
342 Sherrill LN
Roswell, NM 88201-5819
Phone
(575) 625-0123
Fax
(575) 625-0131
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2000-181 NM Primary

Addresses

Primary practice location

342 Sherrill LN
Roswell, NM 88201-5819

Mailing address

342 Sherrill LN
Roswell, NM 88201-5819
Phone (575) 625-0123

Other identifiers 5

IdentifierTypeStateIssuer
NM009129OtherNMBCBS
P00344526OtherNMRAILROAD MEDICARE PIN
12313OtherNMCIDC
B3625MedicaidNM
76-0161899OtherNMFED TAX ID

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
I20060629000169 NM Practitioner - Ophthalmology 8921010588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Engstrom Eye Center LLCGroup PAC ID 4385716729, 2 clinicians

Practice addresses (Care Compare)

342 Sherrill LN
Roswell, NM 88201-5819
Phone (575) 625-0123

Hospital & facility affiliations

  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000-181NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Engstrom Eye Center LLC Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
Roosevelt County Special Hospital District Current Accepting new patients
James R Sawyer MD PC Past Accepting new patients
Eastern New Mexico Physicians and Surgeons LLC Past Accepting new patients

Locations

204 W 2nd St
Ste 1
Roswell, NM 88201
Phone (505) 625-0123

342 Sherrill Ln
Roswell, NM 88201
Phone (575) 625-0123

Interoperability endpoints

  • Direct secure messaging: pengstrom7840@ahs.direct-ci.com
  • Direct secure messaging: paulengstrom@rghnm.medalliesdirect.net

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1003884602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 SHERRILL LN",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015819",
            "telephone_number": "575-625-0123",
            "fax_number": "575-625-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 SHERRILL LN",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015819",
            "telephone_number": "575-625-0123",
            "fax_number": "575-625-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGSTROM",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "2000-181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM009129",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00344526",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "12313",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3625",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "76-0161899",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.