NPIMap

Individual provider Active NPI

Gary A Lamotte, MD

  • Diagnostic Radiology Physician
  • Taos, NM
National Provider Identifier
1447247994
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
84-209 Issued in NM
Practice address
1397 Weimer Rd
Taos, NM 87571-6253
Phone
(575) 758-8883
Fax
(303) 468-1394
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22047 NE
Diagnostic Radiology Physician 2085R0202X G5279 TX
Diagnostic Radiology Physician 2085R0202X 28061 CO
Vascular & Interventional Radiology Physician 2085R0204X 84-209 NM
Diagnostic Radiology Physician 2085R0202X 84-209 NM Primary

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-6253

Mailing address

12687 W Cedar Dr
200
Lakewood, CO 80228-2014
Phone (303) 468-1395

Other identifiers 7

IdentifierTypeStateIssuer
10025709000MedicaidNE
P00720336OtherNERR MCR NE
0255069OtherWADOL WASHINGTON
0259639OtherWADOL WA RIN
1447247994MedicaidWY
1447247994/7726790MedicaidSD
000W6165MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28061COMDDiagnostic Radiology Physician
G5279TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients
Pueblo Radiological Group PC Diagnostic Radiology Past Accepting new patients
Medical Imaging Associates PC Diagnostic Radiology PastSince Jan 1, 2003 Accepting new patients
Greeley Xray Group PC Past Accepting new patients
Taos Mountain Radiology Inc Diagnostic Radiology Past Accepting new patients
Bailey'S Health Care, Inc. Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1447247994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12687 W CEDAR DR",
            "address_2": "200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282014",
            "telephone_number": "303-468-1395",
            "fax_number": "303-468-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-758-8883",
            "fax_number": "303-468-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTE",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "22047",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G5279",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "28061",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "84-209",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "84-209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025709000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR NE",
            "identifier": "P00720336",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL WASHINGTON",
            "identifier": "0255069",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL WA RIN",
            "identifier": "0259639",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447247994",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447247994/7726790",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000W6165",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.