NPIMap

Organization Active NPI

Siavash Karimian MD of New Mexico PC Dba Roswell Medico

Doing business as Roswell MediCo

  • Family Medicine Physician
  • Roswell, NM
National Provider Identifier
1053546796
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2007-0234 Issued in NM
Legal business name
SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO
Doing business as
Roswell MediCo
Practice address
1621 N. Washington Ave
Roswell, NM 88201
Phone
(575) 625-8430
Fax
(575) 625-8452
NPI assigned
May 26, 2009
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mr. Siavash Karimian, MDNPI 1437288073
Title
President/Owenr
Phone
(575) 625-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2001-PA31 NM
Acute Care Nurse Practitioner 363LA2100X CNP02096 NM
Primary Care Nurse Practitioner 363LP2300X CNP001177 NM
Professional Counselor 101YP2500X 143171 NM
Specialist 174400000X MD2011-0412 NM
Family Medicine Physician 207Q00000X MD2007-0234 NM Primary

Addresses

Primary practice location

1621 N. Washington Ave
Roswell, NM 88201

Mailing address

PO Box 1617
Roswell, NM 88202-1617
Phone (575) 625-8430

Other names 1

  • Roswell MediCo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090727000797 NM Part B Supplier - Clinic/Group Practice 6002969847 Receives reassigned benefits from 5 practitioners
Practice locations: Roswell, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D1103943Roswell Medico1621 N Washington, Roswell, NM 88201Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory
Part of
Siavash Karimian MD of New

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1053546796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1617",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021617",
            "telephone_number": "575-625-8430",
            "fax_number": "575-625-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N. WASHINGTON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-625-8430",
            "fax_number": "575-625-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "KARIMIAN",
        "authorized_official_first_name": "SIAVASH",
        "authorized_official_title_or_position": "PRESIDENT/OWENR",
        "authorized_official_telephone_number": "575-625-8430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "2001-PA31",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP02096",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP001177",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "143171",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2011-0412",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell MediCo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.