Individual provider Active NPI

Ronald P Monteverde, MD

  • Psychiatry Physician
  • Hobbs, NM
National Provider Identifier
1033217211
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
77-224 Issued in NM
Practice address
1601 N Turner St
Suite 218
Hobbs, NM 88240-6042
Phone
(505) 391-7572
Fax
(505) 391-7576
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 77-224 NM
Psychiatry Physician 2084P0800X 77-224 NM Primary

Addresses

Primary practice location

1601 N Turner St
Suite 218
Hobbs, NM 88240-6042

Mailing address

3 Regency SQ
Hobbs, NM 88242-9789
Phone (575) 602-1855

Other identifiers 1

IdentifierTypeStateIssuer
09498MedicaidNM

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
I20080723000801 NM Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4880766989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77-224NMMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1033217211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REGENCY SQ",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882429789",
            "telephone_number": "575-602-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TURNER ST",
            "address_2": "SUITE 218",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882406042",
            "telephone_number": "505-391-7572",
            "fax_number": "505-391-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEVERDE",
        "first_name": "RONALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NM",
            "license": "77-224",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "77-224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09498",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.