Gaston Alberto Berrios, M.D.
Individual provider Active NPI Family Medicine Physician · Chaparral, NM
NPI 1447450002 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1447450002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD2007-0798 (NM)
- Practice address
- 510 E Lisa Dr
Chaparral, NM 88081 - Phone
- (575) 824-0820
- Fax
- (575) 824-1021
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University Central del Caribe Escuela de Medicina, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Clinica de Familia Incorporated
Practice addresses (Care Compare)
510 E Lisa Dr BLDG
2 LCDF Chaparral Mental Health
Chaparral, NM 88081-7809
Phone (575) 824-3740
Hospital & facility affiliations
- Alto Mar New Mexico LLC
- Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100610000113 | NM | Practitioner - Family Practice | 3870623382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current |
Accepting new patients | |
| La Clinica de Familia, Incorporated | Current |
Accepting new patients |
Locations
826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135
510 E Lisa Dr
Bldg 2
Chaparral, NM 88081
Phone (575) 824-0128
510 E Lisa Dr
Chaparral, NM 88081
Phone (575) 824-0128
385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444
118 S Main St
Las Cruces, NM 88001
Phone (575) 527-7975
Interoperability endpoints
- gaston.berrios@lcdfnm.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2007-0798 | NM | Yes |
Addresses
Primary practice location
510 E Lisa Dr
Chaparral, NM 88081
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40004554 | Medicaid | NM | |
| NMA100128 | Other | NM | MEDICARE |
Other providers in Chaparral, NM
- Katlyn Arndt
- Krised Arriola
- Brenda Barraza
- Karen Ileana Barraza
- Rosaura Bell
- Bharani Kumar Bhattu
- Tammi Bone
- Michael Lee Burton
- Belem Selene Calzadillas-Perez
- Yolanda Alicia Camacho
All providers in Chaparral, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.