Individual provider Active NPI

Lakshmy Mathur Vythilingam, M.D.

  • Surgery Physician
  • Carlsbad, NM
National Provider Identifier
1245224450
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
227213 Issued in NY
Practice address
2430 W Pierce St
Carlsbad, NM 88220-3553
Phone
(575) 887-4504
Fax
(575) 628-5080
NPI assigned
Sep 1, 2005
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 227213 NY Primary

Addresses

Primary practice location

2430 W Pierce St
Carlsbad, NM 88220-3553

Mailing address

1611 Mountain Shadow Dr
Carlsbad, NM 88220-4154
Phone (718) 801-1770

Other identifiers 1

IdentifierTypeStateIssuer
02131919MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lakshmy.vythilingam.2@1739.direct.athenahealth.com

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
I20150807014614 NM Practitioner - General Surgery 7810957214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

2420 W Pierce St
Carlsbad, NM 88220-3518

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (575) 885-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlsbad Medical Center LLC CurrentSince Jan 24, 2019 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Jan 24, 2019 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Jan 24, 2019 Accepting new patients

Locations

2402 W Pierce St
Ste 5C
Carlsbad, NM 88220
Phone (575) 556-1849

2420 W Pierce St
Ste 103
Carlsbad, NM 88220
Phone (505) 887-8764

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

Interoperability endpoints

  • Direct secure messaging: lakshmy.vythilingam.2@1739.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1245224450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MOUNTAIN SHADOW DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204154",
            "telephone_number": "718-801-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203553",
            "telephone_number": "575-887-4504",
            "fax_number": "575-628-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYTHILINGAM",
        "first_name": "LAKSHMY",
        "middle_name": "MATHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "227213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131919",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakshmy.vythilingam.2@1739.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2430 W Pierce St",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.