Sandra Elaine Grummert, MD
Individual provider Active NPI Family Medicine Physician · Alamogordo, NM
NPI 1205948494 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1205948494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 99219 (NM)
- Practice address
- 923 9TH St
Suite a
Alamogordo, NM 88310-6431 - Phone
- (575) 446-5900
- Fax
- (575) 443-5134
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Otero County Hospital Association
Practice addresses (Care Compare)
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100
Hospital & facility affiliations
- Alamogordo Home Health Care & Hospice, Inc
- Ambercare Home Health
- Alamogordo Home Health Care & Hospice, Inc
- Christus Southern New Mexico
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051221000623 | NM | Practitioner - Family Practice | 4789619545 |
Reassigns benefits to 1 organization Practice locations: Alamogordo, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99219 | NM | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 99219 | NM | Yes |
Addresses
Primary practice location
923 9TH St
Suite a
Alamogordo, NM 88310-6431
Mailing address
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 439-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A4826 | Medicaid | NM |
Other providers in Alamogordo, NM
- Cacy Lynn Griffin
- Marsha Ruth Griffin
- Raeisa Grine
- Joanne Kay Gronewold
- Stephanie Groves
- Adanis Guerra
- Crystal Nicole Guerra
- Lourdes Milagros Guerrero
- Taylor Nicole Guilez
- Brenda Guin
All providers in Alamogordo, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.