Individual provider Active NPI

Krishna K Lingala, MD

  • Physical Medicine & Rehabilitation Physician
  • Portales, NM
National Provider Identifier
1215021696
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD2004-0760 Issued in NM
Practice address
42121 US Hwy 70
Portales, NM 88130-9347
Phone
(575) 356-6652
Fax
(575) 226-0099
NPI assigned
Oct 3, 2006
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD20040760 NM
Physical Medicine & Rehabilitation Physician 208100000X MD2004-0760 NM Primary

Addresses

Primary practice location

42121 US Hwy 70
Portales, NM 88130-9347

Mailing address

PO Box 299
Portales, NM 88130-9347
Phone (575) 356-6652

Other identifiers 1

IdentifierTypeStateIssuer
25604368MedicaidNM

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
I20050824000540 NM Practitioner - Physical Medicine and Rehabilitation 9537116397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 W 21St St
Clovis, NM 88101-4098
Phone (575) 935-0944

42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2004-0760NMMDPhysical Medicine & Rehabilitation Physician
MD20040760NMMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roosevelt County Special Hospital District CurrentSince Aug 3, 2009 Accepting new patients
Roosevelt County Special Hospital District CurrentSince Aug 3, 2009 Accepting new patients

Locations

2000 W 21st St
Ste R1
Clovis, NM 88101
Phone (505) 763-3445

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

Interoperability endpoints

  • Direct secure messaging: krishnalingala@rghnm.medalliesdirect.net

Organizations & group practices 2

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 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1215021696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309347",
            "telephone_number": "575-356-6652",
            "fax_number": "575-226-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42121 US HWY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309347",
            "telephone_number": "575-356-6652",
            "fax_number": "575-226-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGALA",
        "first_name": "KRISHNA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "MD20040760",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "MD2004-0760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25604368",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.