Active NPI
Eugene Gerard Marciniak, MD
- Internal Medicine Physician
- Las Cruces, NM
National Provider Identifier
1407830458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2000237
- Practice address
- 999 W Amador Ave Ste a
Las Cruces, NM 88005-2739 - Phone
- (575) 527-5482
- Fax
- (575) 525-3542
- NPI assigned
- Dec 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2000237 | NM | Primary |
Addresses
Primary practice location
999 W Amador Ave Ste a
Las Cruces, NM 88005-2739
Mailing address
999 W Amador Ave Ste a
Las Cruces, NM 88005-2739
Phone (575) 527-5482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68979 | Medicaid | NM |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241231001269 | NM | Practitioner - Internal Medicine | 5890004659 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amador Health Center, Inc.
Practice addresses (Care Compare)
999 W Amador Ave a
Las Cruces, NM 88005-2739
Phone (575) 527-5482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000237 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amador Health Center, Inc. | Current | Accepting new patients | |
| Amador Health Center, Inc. | Current | Accepting new patients |
Locations
999 W Amador Ave
Las Cruces, NM 88005
Phone (575) 527-5482
999 W Amador Ave
Ste A
Las Cruces, NM 88005
Phone (575) 527-5482
Interoperability endpoints
- eugene.marciniak.1@27572.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1700178167
NM
-
- Community/Retail Pharmacy
- Las Cruces, NM
- NPI 1407343445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1407830458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 W AMADOR AVE STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052739",
"telephone_number": "575-527-5482",
"fax_number": "575-525-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 W AMADOR AVE STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052739",
"telephone_number": "575-527-5482",
"fax_number": "575-525-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINIAK",
"first_name": "EUGENE",
"middle_name": "GERARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "2000237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68979",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.