Peter K. Sangra, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2017-0955 Issued in NM

Practice address

5055 McNutt Rd
Santa Teresa, NM 88008-9442

Phone

(575) 589-3000

Fax

(575) 589-6682

NPI assigned

Jul 10, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 3, 2025 through Apr 3, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peter Sangra MD LLC

  • Child & Adolescent Psychiatry Physician
  • Santa Teresa, NM
  • NPI 1306464615
  NPD Authorized official
• New Mexico Behavioral Healthcare LLC

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1033809256
  NPD (past)
• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1265873947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089442",
            "telephone_number": "575-589-3000",
            "fax_number": "575-589-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089442",
            "telephone_number": "575-589-3000",
            "fax_number": "575-589-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGRA",
        "first_name": "PETER",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "MD2017-0955",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2017-0955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Logan Sanchez
• Maria D Sanchez
• Rocio Sanchez, OFFICE MANAGER
• Samantha Sanchez
• Sandra L Shuya PC
• Santa Teresa Chiropractic Center
• Santa Teresa Cosmetic and Family Dentistry LLC
• Santa Teresa Family Medical Center
• Santa Teresa Medical Care Center PC
• Santa Teresa Occmed Center, PC

• Psychiatry Physician in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.