Active NPI
Jan Delos Hobbs, MD
- Otolaryngology Physician
- Roswell, NM
National Provider Identifier
1225090046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2002-0390
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90859561 | Medicaid | NM | |
| NM009D18 | Other | NM | BCBS |
| 28033833 | Medicaid | NM |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Ear, Nose & Throat & Allergy L. L. C. | Otolaryngology | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.