Andrew L Ondo, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

97-332 Issued in NM

Practice address

3865 Foothills Rd
Las Cruces, NM 88011-5091

Phone

(575) 521-7117

Fax

(575) 521-7226

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialty

Dermatology

Education

University of Toledo College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology of Las Cruces PCGroup PAC ID 0840511713, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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.

• Dermatology of Las Cruces, PC

  • Specialist
  • Las Cruces, NM
  • NPI 1780075135
  Medicare reassignment Care Compare group NPD Authorized official

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

• PHC-Las Cruces Inc

  dba Memorial Medical Center of Las Cruces

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1275536559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 FOOTHILLS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "575-521-7117",
            "fax_number": "575-521-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 FOOTHILLS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "575-521-7117",
            "fax_number": "575-521-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDO",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "97-332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM001341",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Omari
• Ehimen Douglas Omoegbele, PHARMD
• On the Bright Side Recovery LLC
• On Wings Like Eagles, LLC
• On Wings Like Eagles, LLC
• Cydney Oneal
• Amy Nichols Oneill, DOM
• Obalolu Jones Onigbinde, PT
• Sara Onlu
• Erika Ontiveros Fernandez

• Dermatology Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.