Ahmad H Othman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD2018-0173 Issued in NM

Practice address

233 Fairway Ter N Ste B
Clovis, NM 88101-3060

Phone

(575) 762-7779

Fax

(575) 762-3526

NPI assigned

Aug 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahmadothman@rghnm.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roosevelt County Special Hospital District

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058

  NM

  Medicare reassignment Care Compare group NPD
• Presbyterian Healthcare Services

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354

  NM, Surgery

  Medicare reassignment NPD
• Roosevelt County Special Hospital District

  • Rural Health Clinic/Center
  • Clovis, NM
  • NPI 1578639662
  Care Compare group NPD (past)
• Roosevelt County Special Hospital District

  • Rural Health Clinic/Center
  • Portales, NM
  • NPI 1316013402
  Care Compare group
• Presbyterian Healthcare Services

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  NPD
• Roosevelt County Special Hospital District

  • Family Medicine Physician
  • Portales, NM
  • NPI 1093801292

  Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509

  Hospital

  Care Compare affiliation
• Roosevelt County Special Hospital District

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058

  Hospital

  Care Compare affiliation

Specialty

General Surgery

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roosevelt County Special Hospital District 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1255688271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 FAIRWAY TER",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012734",
            "telephone_number": "312-813-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FAIRWAY TER N STE B",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013060",
            "telephone_number": "575-762-7779",
            "fax_number": "575-762-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881012006",
            "country_code": "US",
            "telephone_number": "575-769-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTHMAN",
        "first_name": "AHMAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2018-0173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12875279",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Osborne
• Cindy Kay Osburn, CCC SLP
• Wisdom Osisioma, DDS, MPH
• Kendall Osman
• Charles Daniel Otero, PA
• Alexandra Otis
• Outside the Box Therapy, LLC
• Valencia R Owens
• James Joseph Padilla
• Nicole Padilla

• All providers in Clovis, NM
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.
• 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.