NPIMap

Individual provider Active NPI

Sangeeth Shanbhag Pai, MD

  • Internal Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1124021225
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002-0413 Issued in NM
Practice address
179 Howard PL
Las Cruces, NM 88011-8157
Phone
(575) 521-8500
Fax
(575) 521-8400
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002-0413 NM Primary

Addresses

Primary practice location

179 Howard PL
Las Cruces, NM 88011-8157

Mailing address

179 Howard PL
Las Cruces, NM 88011-8157
Phone (575) 521-8500

Other identifiers 1

IdentifierTypeStateIssuer
42504201MedicaidNM

Other names 1

  • Sangeeth Shanbhag Former name

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
I20090216000108 NM Practitioner - Internal Medicine 5698830297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Mexico Primary Care Group PCGroup PAC ID 8123177391, 6 clinicians

Practice addresses (Care Compare)

179 Howard PL
Suite 1
Las Cruces, NM 88011-8157
Phone (575) 521-8500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Primary Care Group P.C. Internal Medicine CurrentSince Apr 5, 2009 Accepting new patients
Associated Cardiology Consultants of New Mexico Past Accepting new patients

Locations

179 Howard Pl
Las Cruces, NM 88011
Phone (575) 521-8500

2801 Missouri Ave
Ste 7
Las Cruces, NM 88011
Phone (575) 373-8415

179 Howard Pl
Ste 1
Las Cruces, NM 88011
Phone (575) 521-8500

2405 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-5353

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793

Interoperability endpoints

  • Direct secure messaging: sangeeth.pai.1@29838.direct.athenahealth.com
  • Direct secure messaging: sangeeth.shanbhagpai@718.securemail.prognocis.com

Organizations & group practices 2

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 8

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1124021225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HOWARD PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118157",
            "telephone_number": "575-521-8500",
            "fax_number": "575-521-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HOWARD PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118157",
            "telephone_number": "575-521-8500",
            "fax_number": "575-521-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "SANGEETH",
        "middle_name": "SHANBHAG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2002-0413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42504201",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANGEETH",
            "last_name": "SHANBHAG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.