Individual provider Active NPI

Harideep Samanapally

  • Student in an Organized Health Care Education/Training Program
  • Alamogordo, NM
National Provider Identifier
1336037274
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RS2025-0209 Issued in NM
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

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RS2025-0209NMMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.