Individual provider Active NPI

Janeen Denice Maas, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1174534044
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-92 Issued in NM
Practice address
1421 Luisa St Ste D
Santa Fe, NM 87505-4073
Phone
(505) 820-1482
Fax
(505) 982-0696
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-92 NM Primary

Addresses

Primary practice location

1421 Luisa St Ste D
Santa Fe, NM 87505-4073

Mailing address

1421 Luisa St Ste D
Santa Fe, NM 87505-4073
Phone (505) 820-1482

Other identifiers 1

IdentifierTypeStateIssuer
20165MedicaidNM

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
I20040310001563 NM Practitioner - Family Practice 6507755444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Healing Family Practice, LLC Family Medicine CurrentSince Mar 29, 2005 Accepting new patients
La Familia Medical Center CurrentSince Jan 9, 2021 Accepting new patients
La Familia Medical Center CurrentSince Jan 9, 2021 Accepting new patients
La Familia Medical Center Family Medicine Past Accepting new patients
Alan Rogers, M.D., P.C. Family Medicine Past Accepting new patients

Locations

2145 Caja del Oro Grant Rd
Santa Fe, NM 87507
Phone (505) 438-3195

1421 Luisa St
Ste D
Santa Fe, NM 87505
Phone (505) 820-1482

1035 Alto St
Santa Fe, NM 87501
Phone (505) 982-4425

2019 Galisteo St
Ste N9A
Santa Fe, NM 87505
Phone (505) 820-1482

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1174534044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "JANEEN",
        "middle_name": "DENICE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "94-92",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20165",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.