Individual provider Active NPI

Robert L. Patterson, D.O.

  • General Practice Physician
  • Las Cruces, NM
National Provider Identifier
1437175171
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A-1178-02 Issued in NM
Practice address
3961 E Lohman Ave
Las Cruces, NM 88011-8269
Phone
(505) 556-0200
Fax
(505) 556-0201
NPI assigned
Jul 14, 2006
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A-1187-02 NM
General Practice Physician 208D00000X A-1178-02 NM Primary

Addresses

Primary practice location

3961 E Lohman Ave
Las Cruces, NM 88011-8269

Mailing address

4721 Sun Canyon CT
Las Cruces, NM 88011-0978
Phone (505) 522-0772

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
I20041119000830 NM Practitioner - Emergency MedicinePractitioner - General Practice 8224093158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Clinics, LLCGroup PAC ID 7911902077, 7 clinicians

Practice addresses (Care Compare)

3961 E Lohman Ave
Suite 33
Las Cruces, NM 88011-8269
Phone (575) 556-0200

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-1178-02NMMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Clinics, LLC CurrentSince Oct 16, 2006 Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients
Affilion LLC Past Accepting new patients

Locations

3961 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-0200

3961 E Lohman Ave
Ste 33
Las Cruces, NM 88011
Phone (505) 556-0200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1437175171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 SUN CANYON CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880110978",
            "telephone_number": "505-522-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118269",
            "telephone_number": "505-556-0200",
            "fax_number": "505-556-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "A-1187-02",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "A-1178-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.