Kimiko Blair, MD
Individual provider Active NPI Surgery Physician · Alamogordo, NM
NPI 1114190337 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1114190337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 4301087518 (MI)
- Practice address
- 2559 Medical Dr Ste 3200
Alamogordo, NM 88310-8703 - Phone
- (575) 446-5365
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Central Michigan College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Otero County Hospital Association
Practice addresses (Care Compare)
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100
Hospital & facility affiliations
- Christus Southern New Mexico
- Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 66 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427002116 | NM | Practitioner - General Surgery | 5193902757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current |
Accepting new patients | |
| Otero County Hospital Association | Current |
Accepting new patients |
Locations
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
2559 Medical Dr
Ste 3200
Alamogordo, NM 88310
Phone (575) 446-5365
Interoperability endpoints
- kimiko.sugimoto.1@6965.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301087518 | MI | Yes |
Addresses
Primary practice location
2559 Medical Dr Ste 3200
Alamogordo, NM 88310-8703
Mailing address
2559 Medical Dr Ste 3200
Alamogordo, NM 88310-8703
Phone (575) 446-5365
Other providers in Alamogordo, NM
- Big Tree Partners LLC
- Abigail Billingsley
- Joanna Bishop
- Ariel M Black
- Amber Blackmon
- Kayla Blanchard
- Dakota Blu
- Blue Sky Counseling Associates
- Brandy J. Boerner
- Vassil Dimov Bogdanov
All providers in Alamogordo, NM · Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.