Roosevelt County Special Hospital District

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2011-0222 Issued in NM

Legal business name

ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

Doing business as

RGH-Internal Medicine Group

Practice address

42121 US Hwy 70
Portales, NM 88130-9357

Phone

(575) 356-6652

Fax

(505) 226-3636

NPI assigned

Oct 5, 2006

Last updated

Aug 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry Leaming

Title

Ceo Administrator

Phone

(505) 359-1800

Specialties & licenses 12

Addresses

Other identifiers 11

Other names 1

• RGH-Internal Medicine Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Roosevelt County Special Hospital District

  dba Roosevelt General Hospital

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058

  O20040708000841

  Same enrollment

Locations

Practitioners 37

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.

• Basil A Anaele, MD

  • Pediatrics Physician
  • Clovis, NM
  • NPI 1437403813
  NPD
• Jamie Bassell, CNP

  • Family Nurse Practitioner
  • Portales, NM
  • NPI 1841736915
  NPD
• Charlene G Beck, CNP

  • Nurse Practitioner
  • Portales, NM
  • NPI 1770683278
  NPD
• Reavis Bell, FNP-BC

  • Primary Care Nurse Practitioner
  • Clovis, NM
  • NPI 1427713536
  NPD
• Lola Beltran, PA-C

  • Physician Assistant
  • Portales, NM
  • NPI 1902524598
  NPD
• Shanna Lee Campbell, NP

  • Dermatology Physician
  • Portales, NM
  • NPI 1013771393
  NPD
• Praveen Chava, M.D.

  • Family Medicine Physician
  • Portales, NM
  • NPI 1922380708
  NPD
• Glynda Mae Dallas, CNP

  • Nurse Practitioner
  • Clovis, NM
  • NPI 1255383261
  NPD
• Prisma Davalos, PA-C

  • Physician Assistant
  • Portales, NM
  • NPI 1871220327
  NPD
• Neelu Finley, PA

  • Physician Assistant
  • Portales, NM
  • NPI 1841242831
  NPD
• Erika Garcia, MD

  • Family Medicine Physician
  • Portales, NM
  • NPI 1669646006
  NPD
• Abi James, MD, FACS, DABOM

  • Surgery Physician
  • Clovis, NM
  • NPI 1568987758
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1093801292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "address_2": "42121 US HWY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300299",
            "telephone_number": "575-356-6652",
            "fax_number": "505-226-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42121 US HWY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309357",
            "telephone_number": "575-356-6652",
            "fax_number": "505-226-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "LEAMING",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "505-359-1800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "072",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2011-0222",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2004-0028",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2010-0626",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "87-277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CNP-01941",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2010-0558",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1584-10",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CNP00289",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2004-0707",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NM",
            "license": "MD2004-0760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528010279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598750614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669646006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245292242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255641338",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790926814",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013046994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215021696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841242831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013221969",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780778159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RGH-Internal Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Othon Rodriguez
• Zoe Kambria Rodriguez, LMSW
• Lauren Anne Rodriquez
• Sara Romero
• Roosevelt County Special Hospital District (Roosevelt General Hospital)
• Roosevelt County Special Hospital District (Roosevelt General Hospital Home Health)
• Roosevelt County Special Hospital District (RGH Internal Medicine Group)
• Roosevelt County Special Hospital District (RGH Anesthesia Services)
• Kerstyn Irene Ross
• Isaac Saiz

• Family Medicine Physician in Portales, NM
• Providers in Portales, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.