Individual provider Active NPI

Kermie Lenard Robinson, M.D.

  • Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1104840156
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2010-0646 Issued in NM
Practice address
2530 S Telshor Blvd
Suite 103
Las Cruces, NM 88011-4951
Phone
(575) 556-6440
Fax
(575) 556-6445
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2010-0646 NM Primary

Addresses

Primary practice location

2530 S Telshor Blvd
Suite 103
Las Cruces, NM 88011-4951

Mailing address

2530 S Telshor Blvd
Suite 103
Las Cruces, NM 88011-4951
Phone (575) 556-6440

Other identifiers 2

IdentifierTypeStateIssuer
68977221MedicaidNM
271763YKR1OtherNMMEDICARE PTAN

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
I20110224000486 NM Practitioner - General Surgery 1456365477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Crosses Regional Hospital LLCGroup PAC ID 1254758667, 62 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274

2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868

Hospital & facility affiliations

  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)14
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2010-0646NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Crosses Regional Hospital LLC CurrentSince Jan 1, 2021 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Sep 1, 2016 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Sep 1, 2016 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Three Crosses Regional Hospital LLC Past Accepting new patients
Advanced Surgical Specialists of Northeast Georgia, LLC Past Accepting new patients

Locations

721 E Holly St
Ste B
Deming, NM 88030
Phone (575) 546-6010

2530 S Telshor Blvd
Ste 103
Las Cruces, NM 88011
Phone (575) 556-6400

2560 Samaritan Dr
Ste 121
Las Cruces, NM 88001

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

2550 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 522-7247

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

Organizations & group practices 6

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 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1104840156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD",
            "address_2": "SUITE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114951",
            "telephone_number": "575-556-6440",
            "fax_number": "575-556-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD",
            "address_2": "SUITE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114951",
            "telephone_number": "575-556-6440",
            "fax_number": "575-556-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KERMIE",
        "middle_name": "LENARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2010-0646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68977221",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "271763YKR1",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.