Individual provider Active NPI

Surjit Reddy Moolamalla, M.D.

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
National Provider Identifier
1306849310
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N8693 Issued in TX
Practice address
4351 E Lohman Ave
Suite 401
Las Cruces, NM 88011-8259
Phone
(575) 522-4767
Fax
(575) 522-3607
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01053146A IN
Obstetrics & Gynecology Physician 207V00000X N8693 TX Primary
Family Medicine Physician 207Q00000X 47545 MN
Obstetrics & Gynecology Physician 207V00000X MD2010-0726 NM

Addresses

Primary practice location

4351 E Lohman Ave
Suite 401
Las Cruces, NM 88011-8259

Mailing address

4351 E Lohman Ave Ste 401
Las Cruces, NM 88011-8261
Phone (575) 522-4767

Other practice location 1

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address surjiti.moolamalla.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111003000526 NM Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4385672765 Reassigns benefits to 1 organization
I20230509001553 TX Practitioner - Obstetrics/Gynecology 4385672765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4351 E Lohman Ave
Las Cruces, NM 88011-8261

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053146AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 1, 2025 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Sep 1, 2025 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Jul 1, 2013 Accepting new patients
Northern Indiana Emergency Physicians, LLP Past Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Past Accepting new patients
Familycare Associates,PA Family Medicine Past Accepting new patients

Locations

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4351 E Lohman Ave
Ste 408
Las Cruces, NM 88011
Phone (505) 522-3911

4351 E Lohman Ave
Ste 201
Las Cruces, NM 88011
Phone (575) 522-2233

4351 E Lohman Ave
Ste 401
Las Cruces, NM 88011
Phone (505) 522-4767

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Interoperability endpoints

  • Direct secure messaging: surjit.moolamalla.1@1928.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1306849310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 401",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118261",
            "telephone_number": "575-522-4767",
            "fax_number": "575-522-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "SUITE 401",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "575-522-4767",
            "fax_number": "575-522-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5000",
            "fax_number": "915-215-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOLAMALLA",
        "first_name": "SURJIT",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01053146A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N8693",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47545",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2010-0726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "surjiti.moolamalla.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4351 E Lohman Ave",
            "address_2": "Suite 401",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.