Daniel Lyman Ridout III, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD2015-0106 Issued in NM

Practice address

350 W Country Club Rd Ste 201
Roswell, NM 88201-5221

Phone

(575) 624-4651

Fax

(575) 624-4875

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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

Specialty

Gastroenterology

Education

University of Cincinnati College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern New Mexico Medical Center Hospital, Roswell, NM, CCN 320006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.ridout.1@1610.direct.athenahealth.com

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.

• Roswell Clinic Corp

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1649267618
  Medicare reassignment Care Compare group NPD
• Roswell Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
  • NPI 1396958633
  NPD

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

• Roswell Hospital Corporation

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1265427504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 201",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015221",
            "telephone_number": "575-624-4651",
            "fax_number": "575-624-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 201",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015221",
            "telephone_number": "575-624-4651",
            "fax_number": "575-624-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDOUT",
        "first_name": "DANIEL",
        "middle_name": "LYMAN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101237677",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2015-0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NM",
            "identifier": "NPI & TIN",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.ridout.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "350 W Country Club Rd",
            "address_2": "Suite #105",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reynaldo R. Martinez MD LLC
• Valerie Rhinehart
• Joseph Isaac Rhodes, DDS
• Andrea Rice
• Lisa Sue Richards,, BS
• Rio Pecos Medical Associates LTD
• Rio Pecos Medical Associates LTD
• Robert Elden Pennington MD, PHD, PC
• Jason Robinson
• Rhonda Marie Robinson, M.S. CCC-SLP

• Gastroenterology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Gastroenterology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.