Individual provider Active NPI

Robert C Kolosseus, MD

  • Specialist
  • Las Cruces, NM
National Provider Identifier
1285638536
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
99-237 Issued in NM
Practice address
2545 Don Roser Drive
Las Cruces, NM 88011-9107
Phone
(575) 522-7880
Fax
(575) 522-7226
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 99-237 NM Primary

Addresses

Primary practice location

2545 Don Roser Drive
Las Cruces, NM 88011-9107

Mailing address

2545 Don Roser Drive
Las Cruces, NM 88011-9107
Phone (575) 522-7880

Other identifiers 1

IdentifierTypeStateIssuer
02056372MedicaidNM

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
I20080916000556 NM Practitioner - Urology 2860497369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of New Mexico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

2545 S Don Roser Dr
Las Cruces, NM 88011-9107
Phone (575) 522-7880

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
  • Sierra Vista Hospital Hospital, T Or C, NM, CCN 321300
  • Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99-237NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Kolosseus MD PC PastSince Jan 1, 2002 Accepting new patients
Joseph a Caplan MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robertkolosseus@rgu.medalliesdirect.net

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 and National Provider Directory roles.

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1285638536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 DON ROSER DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119107",
            "telephone_number": "575-522-7880",
            "fax_number": "575-522-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 DON ROSER DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119107",
            "telephone_number": "575-522-7880",
            "fax_number": "575-522-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOSSEUS",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "99-237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056372",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.