Individual provider Active NPI

Lyle B Amer, MD

  • Rheumatology Physician
  • Santa Fe, NM
National Provider Identifier
1386794162
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
NM87202 Issued in NM
Practice address
2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone
(505) 983-9460
Fax
(505) 983-0568
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NM87202 NM Primary
Internal Medicine Physician 207R00000X NM87202 NM

Addresses

Primary practice location

2212 Brothers Rd
Santa Fe, NM 87505-6903

Mailing address

2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone (505) 983-9460

Other identifiers 4

IdentifierTypeStateIssuer
PROVP11158OtherNMMOLINA SALUD
14944MedicaidNM
NM020199OtherNMBCBS
201000218OtherNMPHP

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
I20110217000427 NM Practitioner - Internal MedicinePractitioner - Rheumatology 9537340013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Colorado School of Medicine, Denver, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyle B Amer MD PCGroup PAC ID 6103007687, 2 clinicians

Practice addresses (Care Compare)

2212 Brothers Rd
Santa Fe, NM 87505-6903
Phone (505) 983-9460

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NM87202NMMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lyle B Amer MD PC Rheumatology CurrentSince Oct 13, 2010 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

2212 Brothers Rd
Santa Fe, NM 87505
Phone (505) 983-9460

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1386794162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 BROTHERS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056903",
            "telephone_number": "505-983-9460",
            "fax_number": "505-983-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 BROTHERS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056903",
            "telephone_number": "505-983-9460",
            "fax_number": "505-983-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMER",
        "first_name": "LYLE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "NM87202",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "NM87202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA SALUD",
            "identifier": "PROVP11158",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14944",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM020199",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "201000218",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.