Mitchell Ryan Petty

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

DO2025-0162 Issued in NM

Practice address

2420 W Pierce St Ste 102
Carlsbad, NM 88220-3517

Phone

(575) 887-4100

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Urology

Education

University of North Texas HSC, College of Osteopathic Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
• Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mitchell.petty.1@1739.direct.athenahealth.com

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.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820

  NM

  Medicare reassignment Care Compare group NPD
• Angelica Audiology, LLC

  • Audiologist-Hearing Aid Fitter
  • Roswell, NM
  • NPI 1144618166
  NPD

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

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044

  Hospital

  Care Compare affiliation
• Carlsbad Medical Center LLC

  • Rehabilitation Hospital Unit
  • Carlsbad, NM
  • NPI 1114949781

  Hospital

  Care Compare affiliation
• Carlsbad Medical Center LLC

  • General Acute Care Hospital
  • Carlsbad, NM
  • NPI 1790722346

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1407485808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442657",
            "telephone_number": "512-913-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST STE 102",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203517",
            "telephone_number": "575-887-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W San Antonio St",
            "address_purpose": "LOCATION",
            "city": "Lockhart",
            "state": "TX",
            "postal_code": "786442657",
            "country_code": "US",
            "telephone_number": "512-913-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTY",
        "first_name": "MITCHELL",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "DO2025-0162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pecos Valley of New Mexico, LLC
• Leonel Perez-Limonte, MD, MS-HQPS, MHL
• Caroline Marie Perkins, RN
• Lisa J Perkowski, MD P.C.
• Cameron Scott Peterson, CRNA
• PF Development 7, LLC
• PF Development 7, LLC
• Vy Pham
• Cindy Phillippi, CNP
• Physician'S Rehab Services of Carlsbad

• Urology Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Urology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.