Active NPI
Roberto Thaddeus Araiza, M.D.
- Pediatrics Physician
- Santa Fe, NM
National Provider Identifier
1164583795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD2010-0796
- Practice address
- 2025 Galisteo St
Santa Fe, NM 87505-2101 - Phone
- (505) 995-4901
- Fax
- (505) 989-6426
- NPI assigned
- Dec 13, 2006
- Last updated
- Oct 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2010-0796 | NM | Primary |
Addresses
Primary practice location
2025 Galisteo St
Santa Fe, NM 87505-2101
Mailing address
2025 Galisteo St
Santa Fe, NM 87505-2101
Phone (505) 995-4901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Harlem Medical Associates PC | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatrics | Past | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1164583795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052101",
"telephone_number": "505-995-4901",
"fax_number": "505-989-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GALISTEO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052101",
"telephone_number": "505-995-4901",
"fax_number": "505-989-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAIZA",
"first_name": "ROBERTO",
"middle_name": "THADDEUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2010-0796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.