Active NPI
Ninad P Shet, MD
- Internal Medicine Physician
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2014-0640
- Practice address
- 1511 South Grand
Roswell, NM 88203 - Phone
- (575) 623-3255
- Fax
- (575) 625-9901
- NPI assigned
- Sep 6, 2011
- Last updated
- Aug 27, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2014-0640 | NM | Primary |
| Internal Medicine Physician | 207R00000X | BP10041385 | TX |
Addresses
Primary practice location
1511 South Grand
Roswell, NM 88203
Mailing address
PO Box 843
Portales, NM 88130-0843
Phone (575) 623-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2014-0640 | NM | MD | Internal Medicine Physician |
| BP10041385 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Casa de Buena Salud Inc | Current | Accepting new patients | |
| La Casa de Buena Salud Inc. | Current | Accepting new patients | |
| La Casa de Buena Salud Inc | Past | Accepting new patients |
Locations
1515 W Fir St
Portales, NM 88130
Phone (505) 356-6695
200 W Wilshire Blvd
Ste A
Roswell, NM 88201
Phone (575) 622-5956
1511 S Grand Ave
Roswell, NM 88203
Phone (505) 623-3255
Organizations & group practices 3
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.
-
dba La Casa Family Health Center
- Federally Qualified Health Center (FQHC)
- Portales, NM
- NPI 1972603165
-
dba La Casa School Based Clinic
- Federally Qualified Health Center (FQHC)
- Clovis, NM
- NPI 1760788137
-
dba La Casa Family Health Center
- Federally Qualified Health Center (FQHC)
- Roswell, NM
- NPI 1215037379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1346521218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843",
"city": "PORTALES",
"state": "NM",
"postal_code": "881300843",
"telephone_number": "575-623-3255",
"fax_number": "575-625-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 SOUTH GRAND",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88203",
"telephone_number": "575-623-3255",
"fax_number": "575-625-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHET",
"first_name": "NINAD",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-06",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2014-0640",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10041385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.