Individual provider Active NPI

Josiah H Child, M.D.

  • Internal Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1194807800
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2015-0791 Issued in NM
Practice address
1650 Hospital Dr Ste 500
Santa Fe, NM 87505-4794
Phone
(505) 603-5324
Fax
(505) 983-7571
NPI assigned
Oct 20, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD2015-0791 NM
Emergency Medicine Physician 207P00000X 041145 CT
Emergency Medicine Physician 207P00000X C155374 CA
Internal Medicine Physician 207R00000X MD2015-0791 NM Primary

Addresses

Primary practice location

1650 Hospital Dr Ste 500
Santa Fe, NM 87505-4794

Mailing address

1650 Hospital Dr Ste 500
Santa Fe, NM 87505-4794
Phone (505) 603-5324

Other practice location 1

1555 East St Ste 210
Redding, CA 96001-1153
Phone (530) 444-8304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160122000209 NM Practitioner - Emergency MedicinePractitioner - Internal Medicine 7911805825 Reassigns benefits to 3 organizations
I20180703003035 CA Practitioner - Emergency Medicine 7911805825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency Specialty Services LLCGroup PAC ID 0042676470, 8 clinicians

Practice addresses (Care Compare)

1650 Hospital Dr
Suite 500
Santa Fe, NM 87505-4794
Phone (505) 603-5324

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C155374CAMDEmergency Medicine Physician
041145CTMDEmergency Medicine Physician
MD2015-0791NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Specialty Services LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
San Joaquin Emergency Medical Associates Emergency Medicine CurrentSince Jan 15, 2019 Accepting new patients
Los Alamos Emergency Medical Associates Inc Emergency Medicine CurrentSince Dec 6, 2015 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Sep 16, 2017 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Waterbury Hospital Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine Past Accepting new patients
CT Emergency Medicine Specialists, LLC Emergency Medicine Past Accepting new patients
Nexus Health Past Accepting new patients
CT Colony Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients

Locations

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

1650 Hospital Dr
Ste 500
Santa Fe, NM 87505
Phone (505) 603-5324

1650 Hospital Dr
Ste 800
Santa Fe, NM 87505
Phone (505) 395-3000

Interoperability endpoints

  • Direct secure messaging: ivh7715@yourcarecommunity.org
  • Direct secure messaging: josiah.child@821365115715588.direct.elationemr.com

Organizations & group practices 12

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1194807800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR STE 500",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054794",
            "telephone_number": "505-603-5324",
            "fax_number": "505-983-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR STE 500",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054794",
            "telephone_number": "505-603-5324",
            "fax_number": "505-983-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 East St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011153",
            "country_code": "US",
            "telephone_number": "530-444-8304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILD",
        "first_name": "JOSIAH",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2015-0791",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "041145",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C155374",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2015-0791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.