Todd Funkhouser, M.D., PH.D

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

L4382 Issued in TX

Practice address

3800 E Lohman Ave
Suite a
Las Cruces, NM 88011-8273

Phone

(575) 522-6500

Fax

(575) 522-0591

NPI assigned

Mar 1, 2006

Last updated

Jul 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Allergy/Immunology

Education

University of New Mexico School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest HCP Access PAGroup PAC ID 8224356415, 5 clinicians

Pace Management IncGroup PAC ID 8426959198, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pace Management, Inc.

  dba Allergy & Asthma Clinic of Southern NM

  • Specialist
  • Las Cruces, NM
  • NPI 1306942958
  Medicare reassignment Care Compare group NPD
• Southwest HCP Access PA

  • Allergy Physician
  • El Paso, TX
  • NPI 1962896340
  Medicare reassignment Care Compare group NPD
• East Texas Functional Medicine Center, LLC

  dba Integrative Health Matters

  • Public Health & General Preventive Medicine Physician
  • Tyler, TX
  • NPI 1245847672
  NPD
• Maria Elena Falcon, M.D., P.a.

  dba Allergy & Asthma Center

  • Allergy Physician
  • McAllen, TX
  • NPI 1023061041
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1326015173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "575-522-6500",
            "fax_number": "575-522-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "575-522-6500",
            "fax_number": "575-522-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKHOUSER",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "L4382",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NM",
            "license": "MD2009-0308",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "L4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Fullbright, CNP
• Maynard Darvy Fuller, M.D.
• Monica Anne Fullerton, LISW
• Function Therapy Specialists, Inc
• John Perry Funk, LISW
• Fyi Childrens Safehouse Cac
• G. Ann Remick-Barlow and Associates, LLC
• Destinee Renae Gabaldon
• Gene Alan Gabaldon, DDS
• Kyle Clayton Gabioud

• Allergy & Immunology (Internal Medicine) Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Allergy & Immunology (Internal Medicine) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.