Active NPI
Harideep Samanapally
- Student in an Organized Health Care Education/Training Program
- Alamogordo, NM
National Provider Identifier
1336037274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RS2025-0209
- Practice address
- 2351 25TH St
Alamogordo, NM 88310-8722 - Phone
- (575) 446-5815
- NPI assigned
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RS2025-0209 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2025-0209 | NM | Primary |
Addresses
Primary practice location
2351 25TH St
Alamogordo, NM 88310-8722
Mailing address
2351 25TH St
Alamogordo, NM 88310-8722
Phone (575) 446-5815
Other practice location 1
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Phone (575) 521-5665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2025-0209 | NM | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- harideep.samanapally.1@19849.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1336037274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 25TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108722",
"telephone_number": "575-446-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 25TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108722",
"telephone_number": "575-446-5815"
}
],
"practiceLocations": [
{
"address_1": "2450 S Telshor Blvd",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880115076",
"country_code": "US",
"telephone_number": "575-521-5665",
"fax_number": "575-521-5568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMANAPALLY",
"first_name": "HARIDEEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-27",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2025-0209",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2025-0209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.