Active NPI
Paul F Engstrom, M.D.
- Ophthalmology Physician
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2000-181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM009129 | Other | NM | BCBS |
| P00344526 | Other | NM | RAILROAD MEDICARE PIN |
| 12313 | Other | NM | CIDC |
| B3625 | Medicaid | NM | |
| 76-0161899 | Other | NM | FED 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
Enrollment records 1
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
Practice addresses (Care Compare)
342 Sherrill LN
Roswell, NM 88201-5819
Phone (575) 625-0123
Hospital & facility affiliations
- Lovelace Regional Hospital - Roswell
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.4 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 74.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 240 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-181 | NM | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engstrom Eye Center LLC | Ophthalmology | Current | 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
- pengstrom7840@ahs.direct-ci.com
- 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.
-
- Ophthalmology Physician
- Roswell, NM
- NPI 1013187798
-
- General Acute Care Hospital
- Portales, NM
- NPI 1073517058
-
- Clinic/Center
- Clovis, NM
- NPI 1114977675
-
- Family Medicine Physician
- Clovis, NM
- NPI 1831268655
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roswell, NM
- NPI 1972878361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.