Individual provider Active NPI

Kamran Kamali, MD

  • Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1144378464
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2004-0619 Issued in NM
Practice address
2701 Missouri Ave
Suite B
Las Cruces, NM 88011-5091
Phone
(505) 522-1931
Fax
(505) 532-1665
NPI assigned
Jan 5, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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 2004-0619 NM Primary

Addresses

Primary practice location

2701 Missouri Ave
Suite B
Las Cruces, NM 88011-5091

Mailing address

PO Box 16544
Las Cruces, NM 88004-6544
Phone (505) 522-1931

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
I20041116000061 NM Practitioner - General Surgery 0547233066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
George Washington University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-0619NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Surgery CurrentSince May 25, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 25, 2021 Accepting new patients
Three Crosses Regional Hospital LLC CurrentSince May 24, 2021 Accepting new patients
John M. Ramirez MD PC Surgery Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

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

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

121 El Paso Rd
Ruidoso, NM 88345
Phone (505) 257-4061

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1144378464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16544",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046544",
            "telephone_number": "505-522-1931",
            "fax_number": "505-532-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MISSOURI AVE",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "505-522-1931",
            "fax_number": "505-532-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMALI",
        "first_name": "KAMRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "2004-0619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.