Organization Active NPI

Central Medical Services of Southern New Mexico

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1215379284
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL MEDICAL SERVICES OF SOUTHERN NEW MEXICO
Practice address
141 N Roadrunner Pkwy Ste 224
Las Cruces, NM 88011-2001
Phone
(575) 524-8888
Fax
(575) 524-8132
NPI assigned
Jul 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Ricardo Rubio, MDNPI 1811187644
Title
Owner
Phone
(575) 524-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Occupational Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083X0100X

Addresses

Primary practice location

141 N Roadrunner Pkwy Ste 224
Las Cruces, NM 88011-2001

Mailing address

141 N Roadrunner Pkwy Ste 224
Las Cruces, NM 88011-2001
Phone (575) 524-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203000649 NM Part B Supplier - Clinic/Group Practice 6800025388 Receives reassigned benefits from 2 practitioners
Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2063571Central Medical Services of Southern New Mexico141 Roadrunner Parkway Suite 224, Las Cruces, NM 88011Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

2170 E Lohman Ave
Ste Bd
Las Cruces, NM 88001

2170 E Lohman Ave
Ste Ac
Las Cruces, NM 88001
Phone (575) 524-8888

141 N Roadrunner Pkwy
Ste 224
Las Cruces, NM 88011
Phone (575) 524-8888

3851 E Lohman Ave
Ste 4
Las Cruces, NM 88011
Phone (575) 644-6686

1711 Sudderth Dr
Ruidoso, NM 88345
Phone (575) 623-1303

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1215379284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N ROADRUNNER PKWY STE 224",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112001",
            "telephone_number": "575-524-8888",
            "fax_number": "575-524-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N ROADRUNNER PKWY STE 224",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112001",
            "telephone_number": "575-524-8888",
            "fax_number": "575-524-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL SERVICES OF SOUTHERN NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-524-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.