Organization Active NPI

Cancer/Blood and Medicine Clinic LLC

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1124428081
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CANCER/BLOOD AND MEDICINE CLINIC LLC
Practice address
4050 Northrise Dr
Las Cruces, NM 88011
Phone
(575) 652-3040
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Ikenna Osuorji, MD,FACPNPI 1477693554
Title
Medical Director/Ceo
Phone
(832) 859-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Multi-Specialty Clinic/Center 261QM1300X Primary
Oncology Clinic/Center 261QX0200X 4937678 NM

Addresses

Primary practice location

4050 Northrise Dr
Las Cruces, NM 88011

Mailing address

4050 Northrise Dr
Las Cruces, NM 88011
Phone (575) 652-3040

Other practice location 1

211 Bartlett Dr Ste 102
El Paso, TX 79912-1607
Phone (915) 745-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141103000253 NM Part B Supplier - Clinic/Group Practice 4981825155 Receives reassigned benefits from 3 practitioners
Practice locations: Las Cruces, NM
O20200826001234 TX Part B Supplier - Clinic/Group Practice 4981825155 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2082496Cancer Blood & Medicine4050 Northrise Dr, Las Cruces, NM 88011Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

2930 Hillrise Dr
Ste 6
Las Cruces, NM 88011
Phone (575) 652-1540

4050 Northrise Dr
Las Cruces, NM 88011
Phone (575) 650-3335

211 Bartlett Dr
Ste 201
El Paso, TX 79912

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1124428081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 NORTHRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-652-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NORTHRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-652-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Bartlett Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799121607",
            "country_code": "US",
            "telephone_number": "915-745-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANCER/BLOOD AND MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "OSUORJI",
        "authorized_official_first_name": "IKENNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "832-859-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FACP"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NM",
            "license": "4937678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.