Active NPI
Fernando Ravessoud, M.D.
- Orthopaedic Surgery Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD2011-0758
- Practice address
- 880 S Telshor Blvd Ste 201
Las Cruces, NM 88011-8682 - Phone
- (575) 222-0037
- Fax
- (575) 571-4592
- NPI assigned
- Sep 21, 2005
- Reactivated
- Apr 12, 2006
- Last updated
- Nov 18, 2022
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD2011-0758 | NM | Primary |
Addresses
Primary practice location
880 S Telshor Blvd Ste 201
Las Cruces, NM 88011-8682
Mailing address
880 S Telshor Blvd Ste 200
Las Cruces, NM 88011-8601
Phone (575) 222-0037
Other practice location 1
2530 S Telshor Blvd
Suite 201
Las Cruces, NM 88011-4951
Phone (575) 556-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95425578 | Medicaid | NM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2011-0758 | NM | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ravessoud Orthopedics and Spine, PC | Current | Accepting new patients | |
| Fernando Ravessoud, M.D. Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2530 S Telshor Blvd
Ste 201
Las Cruces, NM 88011
Phone (505) 521-1554
4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
880 S Telshor Blvd
Ste 200
Las Cruces, NM 88011
Phone (575) 222-0037
Organizations & group practices 5
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.
-
dba New Mexico Spine and Joint Center
- Orthopaedic Surgery of the Spine Physician
- Las Cruces, NM
- NPI 1609531151
-
dba NM Cardiovascualr Associates
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1093947491
-
dba New Mexico Cardiac Care
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1356390769
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1235125634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 S TELSHOR BLVD STE 200",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118601",
"telephone_number": "575-222-0037",
"fax_number": "575-571-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S TELSHOR BLVD STE 201",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118682",
"telephone_number": "575-222-0037",
"fax_number": "575-571-4592"
}
],
"practiceLocations": [
{
"address_1": "2530 S Telshor Blvd",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880114951",
"country_code": "US",
"telephone_number": "575-556-6440",
"fax_number": "575-556-6445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVESSOUD",
"first_name": "FERNANDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NM",
"license": "MD2011-0758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95425578",
"state": "NM"
}
],
"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 Nov 18, 2022; 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.