Individual provider Active NPI

Deborah Jean Hewitt, M.D.

  • Obstetrics Physician
  • Ruidoso, NM
National Provider Identifier
1265442297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
92-74 Issued in NM
Practice address
159 Mescalero TRL
Ruidoso, NM 88345-6089
Phone
(505) 257-7505
Fax
(505) 257-4888
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 92-74 NM Primary

Addresses

Primary practice location

159 Mescalero TRL
Ruidoso, NM 88345-6089

Mailing address

159B Mescalero TRL
Ruidoso, NM 88345-6090
Phone (505) 257-7505

Other identifiers 2

IdentifierTypeStateIssuer
850402108OtherNMTAX ID
E4918MedicaidNM

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
I20110331000438 NM Practitioner - Obstetrics/Gynecology 5496938219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New Mexico School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

159 Mescalero TRL
Suite 7
Ruidoso, NM 88345-6089
Phone (575) 257-7505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92-74NMMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah J Hewitt MD PC CurrentSince Mar 2, 2011 Accepting new patients

Locations

159 Mescalero Trl
Ruidoso, NM 88345
Phone (505) 257-3681

159 Mescalero Trl
Ste 7
Ruidoso, NM 88345
Phone (575) 257-7505

Organizations & group practices 1

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 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265442297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159B MESCALERO TRL",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456090",
            "telephone_number": "505-257-7505",
            "fax_number": "505-257-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MESCALERO TRL",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456089",
            "telephone_number": "505-257-7505",
            "fax_number": "505-257-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NM",
            "license": "92-74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "850402108",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E4918",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

Verify at the official NPI Registry.