Individual provider Active NPI

Kristy R. Ontiveros, MD

  • Emergency Medicine Physician
  • Belen, NM
National Provider Identifier
1356473144
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD2005-0520 Issued in NM
Practice address
420 N Main St
Belen, NM 87002-3718
Phone
(505) 861-0060
NPI assigned
Mar 9, 2007
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD2005-0520 NM Primary

Addresses

Primary practice location

420 N Main St
Belen, NM 87002-3718

Mailing address

PO Box 2845
Las Cruces, NM 88004-2845
Phone (575) 303-2929

Other practice location 1

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (706) 354-5770

Other identifiers 1

IdentifierTypeStateIssuer
NM 30571880MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000631 NM Practitioner - General PracticePractitioner - Emergency Medicine 5496720732 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Three Crosses Regional Hospital LLC CurrentSince Jun 30, 2023 Accepting new patients
Elite Primary Care, LLC CurrentSince Feb 4, 2026 Accepting new patients
Elite Primary Care, LLC CurrentSince Feb 1, 2023 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Elite Specialized Services LLC CurrentSince Feb 4, 2026 Accepting new patients
Las Cruces Village Nursing & Rehabilitation LLC Past Accepting new patients
Advanced Care Hospital of Southern New Mexico LLC Past Accepting new patients
Community Hospital Past Accepting new patients
Peak Medical Las Cruces, LLC Past Accepting new patients
Lakeland Community Hospital Watervliet Past Accepting new patients
Peak Medical Assisted Living, LLC Past Accepting new patients
Peak Medical Las Cruces No. 2, LLC Past Accepting new patients
Eh Health Hospice of the Southwest, LLC Family Medicine PastSince Mar 12, 2019 Accepting new patients
Las Cruces Wellness & Rehabilitation LLC Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Kalamazoo Emergency Associates, PLC Emergency Medicine Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

530 N Telshor Blvd
Ste C
Las Cruces, NM 88011
Phone (575) 215-3389

532 N Telshor Blvd
Ste A
Las Cruces, NM 88011
Phone (575) 224-6070

532 N Telshor Blvd
Ste D
Las Cruces, NM 88011
Phone (575) 224-6070

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Casa del Sol CenterLas Cruces, NM, CCN 325108 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2024
Mar 11, 2025
Alliance Home Health Care, LLCLas Cruces, NM, CCN 321564 Hospice Contracted Managing Employee Dec 15, 2024
Sierra HospiceLas Cruces, NM, CCN 321551 Hospice Contracted Managing Employee Jun 1, 2021
Enhabit HospiceLas Cruces, NM, CCN 321582 Hospice Contracted Managing Employee Mar 12, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1356473144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-303-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023718",
            "telephone_number": "505-861-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115069",
            "country_code": "US",
            "telephone_number": "706-354-5770",
            "fax_number": "706-354-5769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "KRISTY",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2005-0520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM 30571880",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.