Mark Leroy Andrews, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

99-155 Issued in NM

Practice address

111 W. Hobbs St.
Roswell, NM 88203-1869

Phone

(575) 623-3311

Fax

(575) 622-1273

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Northeastern Ohio University College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Roswell Osteopathic Medical Clinic, Inc 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Roswell Osteopathic Medical Clinic, Inc

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1144314287

  Family Medicine, NM

  Medicare reassignment Care Compare group NPD
• Medical Office Force

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1508378613

  NM

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lovelace Health System LLC

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361

  Hospital

  Care Compare affiliation
• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1154420735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HOBBS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882031869",
            "telephone_number": "575-623-3311",
            "fax_number": "575-622-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W. HOBBS ST.",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882031869",
            "telephone_number": "575-623-3311",
            "fax_number": "575-622-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MARK",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "99-155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00078991",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lynn Anderson, OD
• Andrew D. Johnson, O.D., P.C.
• Andrews Family Care, Inc.
• Alexandra Vida Andrews
• Bruce Andrews, APRN-CNP
• Angela Chavez
• Angelica Audiology, LLC
• Ann Anderson Counseling & Consulting LLC
• Mark David Antenucci, D.P.M
• Abdul Antongiorgi-Rashad

• All providers in Roswell, NM
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.