Individual provider Active NPI

Jan Delos Hobbs, MD

  • Otolaryngology Physician
  • Roswell, NM
National Provider Identifier
1225090046
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2002-0390 Issued in NM
Practice address
601 W Country Club Rd Ste 202
Roswell, NM 88201
Phone
(575) 622-2911
Fax
(575) 622-2598
NPI assigned
Apr 5, 2006
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2002-0390 NM Primary

Addresses

Primary practice location

601 W Country Club Rd Ste 202
Roswell, NM 88201

Mailing address

601 W Country Club Rd Ste 202
Roswell, NM 88201-5225
Phone (575) 622-2911

Other practice location 1

342 Sherrill Ln
Suite A
Roswell, NM 88201-5831
Phone (575) 622-2911

Other practice location 2

342 Sherrill Ln
Suite A
Roswell, NM 88201-5831
Phone (575) 622-2911

Other identifiers 3

IdentifierTypeStateIssuer
90859561MedicaidNM
NM009D18OtherNMBCBS
28033833MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Ear, Nose & Throat & Allergy L. L. C. Otolaryngology PastSince Dec 1, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1225090046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD STE 202",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015225",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD STE 202",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Sherrill Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015831",
            "country_code": "US",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Sherrill Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015831",
            "country_code": "US",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "JAN",
        "middle_name": "DELOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "2002-0390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90859561",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM009D18",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28033833",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.