Individual provider Active NPI

Richard Pinon Jr., MD

  • Family Medicine Physician
  • Roswell, NM
National Provider Identifier
1265437305
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-135 Issued in NM
Practice address
300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Phone
(575) 622-1411
Fax
(575) 624-5630
NPI assigned
Jun 16, 2005
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-135 NM Primary

Addresses

Primary practice location

300 W Country Club Rd Ste 230
Roswell, NM 88201-5240

Mailing address

300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Phone (575) 622-1411

Other practice location 1

350 W Country Club Rd
Ste #201
Roswell, NM 88201-5205
Phone (575) 622-1841

Other identifiers 3

IdentifierTypeStateIssuer
NM014491OtherNMBCBS
NPI & TINOtherNMBCBS OF NM
T4798MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richard.pinon.3@1610.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
I20040805001005 NM Practitioner - Family Practice 3870564370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

300 W Country Club Rd
Roswell, NM 88201-5240

601 W Country Club Rd
Suite 101
Roswell, NM 88201-5227
Phone (575) 622-8170

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
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98-135NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince Jun 1, 2004 Accepting new patients
Roswell Clinic Corp Family Medicine CurrentSince Jun 1, 2004 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients

Locations

300 W Country Club Rd
Ste 230
Roswell, NM 88201
Phone (575) 622-1411

350 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (575) 622-1841

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Interoperability endpoints

  • Direct secure messaging: richard.pinon.3@1610.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1265437305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD STE 230",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015240",
            "telephone_number": "575-622-1411",
            "fax_number": "575-624-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W COUNTRY CLUB RD STE 230",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015240",
            "telephone_number": "575-622-1411",
            "fax_number": "575-624-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Country Club Rd",
            "address_2": "Ste #201",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015205",
            "country_code": "US",
            "telephone_number": "575-622-1841",
            "fax_number": "575-622-5317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINON",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "98-135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM014491",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NPI & TIN",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T4798",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.pinon.3@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "300 W Country Club Rd Ste 230",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.