Homero Renteria, MD
Individual provider Active NPI Family Medicine Physician · Ruidoso, NM
NPI 1346239001 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1346239001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 98-372 (NM)
- Practice address
- 708 Mechem Dr Ste B
Ruidoso, NM 88345-6952 - Phone
- (575) 808-0536
- Fax
- (575) 257-2331
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Texas Medical School at San Antonio, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fedko Emergency Physicians New Mexico, LLC
Practice addresses (Care Compare)
1016 E Rooselvelt Ave
Grants, NM 87020-2118
Phone (505) 287-4446
Hospital & facility affiliations
- Roosevelt General Hospital
- Nor-Lea Hospital District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051115000328 | NM | Practitioner - Emergency Medicine | 3678592037 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-372 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alteon Health New Mexico LLC | Current |
Accepting new patients | |
| Fedko Emergency Physicians New Mexico LLC | Current |
Accepting new patients | |
| Curry Emergency Group LLC | Current |
Accepting new patients | |
| Nor-Lea Hospital District | Current |
Accepting new patients | |
| Nor-Lea Hospital District | Current |
Accepting new patients | |
| Roosevelt County Special Hospital District | Current | Accepting new patients | |
| Michael a Rowley MD PA | Past | Accepting new patients | |
| Covenant Medical Group | Family Medicine | Past | Accepting new patients |
| Roswell Clinic Corp | Family Medicine | Past | Accepting new patients |
| Covenant Medical Group | Family Medicine | Past | Accepting new patients |
Locations
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560
1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
Interoperability endpoints
- homerorenteria@rghnm.medalliesdirect.net
- hrenteri@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 98-372 | NM | Yes |
Addresses
Primary practice location
708 Mechem Dr Ste B
Ruidoso, NM 88345-6952
Mailing address
708 Mechem Dr Ste B
Ruidoso, NM 88345-6952
Phone (575) 808-0536
Other providers in Ruidoso, NM
- Region IX Education Cooperative
- Region IX Education Cooperative
- Region IX Education Cooperative
- Region IX Education Cooperative
- Rejuvenation Etc.
- Carlos A Revelo Saravia
- Mickie R Reynolds
- Paula Reynolds
- Danielle Rice
- Eric S Rice
All providers in Ruidoso, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.