Active NPI
Rio Grande Medical Group, LTD
- Family Medicine Physician
- Las Cruces, NM
National Provider Identifier
1013900794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RIO GRANDE MEDICAL GROUP, LTD
- Practice address
- 4371 E Lohman Ave
Las Cruces, NM 88011-8255 - Phone
- (575) 532-8900
- Fax
- (575) 532-8910
- NPI assigned
- Aug 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hasan Adnan, M.D.
- Title
- Vice President
- Phone
- (575) 532-8900
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Infectious Disease Physician | 207RI0200X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Mailing address
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 532-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44923 | Medicaid | NM |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D0717863 | Rio Grande Medical Group | Provider-performed microscopy | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1881668887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384300800000",
"number": "1013900794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-532-8900",
"fax_number": "575-532-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-532-8900",
"fax_number": "575-532-8910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO GRANDE MEDICAL GROUP, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-26",
"last_updated": "2013-11-13",
"status": "A",
"authorized_official_last_name": "ADNAN",
"authorized_official_first_name": "HASAN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "575-532-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44923",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.