Active NPI
Kanaka Lakshmy Chelliah, M.D
- Family Medicine Physician
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2010-0227
- Practice address
- 4500 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7334 - Phone
- (575) 652-4048
- Fax
- (575) 556-9766
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2010-0227 | NM | Primary |
Addresses
Primary practice location
4500 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7334
Mailing address
4500 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7334
Phone (575) 652-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01422081 | Medicaid | NM |
Other names 1
- Kanaka L Chelliah
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4500 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7334
Phone (575) 652-4048
Hospital & facility affiliations
- Tender Care Home Health
- Memorial Medical Center
- Three Crosses Regional Hospital LLC
- Mountain View Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2010-0227 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telshor Family Clinic LLC | Family Medicine | Current | Accepting new patients |
| Familycare Associates,PA | Family Medicine | Past | Accepting new patients |
Locations
4500 N Sonoma Ranch Blvd
Las Cruces, NM 88011
Phone (575) 652-4048
2901 Hillrise Dr
Las Cruces, NM 88011
Phone (505) 532-1213
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1881974194
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Cruces, NM
- NPI 1841436144
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1295910321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 N SONOMA RANCH BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117334",
"telephone_number": "575-652-4048",
"fax_number": "575-556-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 N SONOMA RANCH BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117334",
"telephone_number": "575-652-4048",
"fax_number": "575-556-9766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELLIAH",
"first_name": "KANAKA LAKSHMY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2010-0227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01422081",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KANAKA",
"last_name": "CHELLIAH",
"middle_name": "L",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.