NPIMap

Organization Active NPI

San Juan Regional Medical Center Inc

Doing business as San Juan Health Partners Foot and Ankle

  • Orthopaedic Surgery Physician
  • Farmington, NM
National Provider Identifier
1255285490
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Doing business as
San Juan Health Partners Foot and Ankle
San Juan Health Partners Orthopedics
San Juan Health Partners Orthopedics Physical Therapy
Practice address
2300 E 30TH St BLDG D-101
Farmington, NM 87401-8991
Phone
(505) 208-6280
Fax
(505) 564-3202
NPI assigned
Feb 24, 2026
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Kim R Hipsher-Byrd
Title
Administrative Director of Reimburs
Phone
(505) 609-2258

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Foot & Ankle Surgery Podiatrist 213ES0103X
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

2300 E 30TH St BLDG D-101
Farmington, NM 87401-8991

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

3180 N Butler Ave # 300
Farmington, NM 87401-2334
Phone (505) 226-7893

Other practice location 2

1800 E 30th St Ste A
Farmington, NM 87401-9003
Phone (505) 943-0022

Other names 3

  • San Juan Health Partners Foot and Ankle Doing business as
  • San Juan Health Partners Orthopedics Doing business as
  • San Juan Health Partners Orthopedics Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000865 NM Part B Supplier - Clinic/Group Practice 4587559505 Receives reassigned benefits from 396 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Farmington, NM; Bloomfield, NM; Aztec, NM

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

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
32D2341959San Juan Health Partners2300 E 30TH Street, BLDG D, Ste 101, Farmington, NM 87401Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
San Juan Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3180 N Butler Ave
#300
Farmington, NM 87401
Phone (505) 226-7893

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1255285490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D-101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018991",
            "telephone_number": "505-208-6280",
            "fax_number": "505-564-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 N Butler Ave # 300",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874012334",
            "country_code": "US",
            "telephone_number": "505-226-7893",
            "fax_number": "505-327-7875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E 30th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874019003",
            "country_code": "US",
            "telephone_number": "505-943-0022",
            "fax_number": "505-943-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN JUAN REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "HIPSHER-BYRD",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR OF REIMBURS",
        "authorized_official_telephone_number": "505-609-2258"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Health Partners Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Juan Health Partners Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Juan Health Partners Orthopedics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.