Active NPI
Cancer/Blood and Medicine Clinic LLC
- Multi-Specialty Clinic/Center
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ikenna Osuorji, MD,FACP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | |||
| Rheumatology Physician | 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, TX
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2082496 | Cancer Blood & Medicine | Certificate of waiver | Mar 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.