NPIMap

Individual provider Active NPI

Roset Samuel, M.D.

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1073590162
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
96-360 Issued in NM
Practice address
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone
(575) 532-8900
Fax
(575) 532-8974
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 96-360 NM Primary

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

IdentifierTypeStateIssuer
000L5545MedicaidNM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address roset.samuel.1@1928.direct.athenahealth.com
Direct Messaging Address roset.samuel.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090330000598 NM Practitioner - Family Practice 6406959485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-360NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Medical Group Current Accepting new patients
Cibola General Hospital Corporation CurrentSince Sep 1, 2012 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Jan 1, 2018 Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients
Familycare Associates,PA Family Medicine Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4351 E Lohman Ave
Ste 301
Las Cruces, NM 88011
Phone (575) 532-8900

4351 E Lohman Ave
Ste 201
Las Cruces, NM 88011
Phone (575) 522-2233

2435 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 323-1315

4371 E Lohman Ave
Las Cruces, NM 88011
Phone (575) 323-3938

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

Interoperability endpoints

  • Direct secure messaging: roset.samuel.1@1928.direct.athenahealth.com
  • Direct secure messaging: r.samuel@rgmgl-nm.direct.office.nextgen.com

Organizations & group practices 8

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 7

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1073590162",
    "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": "575-532-8974"
        },
        {
            "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": "575-532-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ROSET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "96-360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000L5545",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roset.samuel.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4371 E Lohman Ave",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roset.samuel.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4371 E Lohman Ave",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.