Active NPI
Thomas W Wulf, M.D.
- Family Medicine Physician
- Roswell, NM
National Provider Identifier
1467405779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2005-0529
- Practice address
- 607 W Country Club Rd
Roswell, NM 88201-5211 - Phone
- (575) 208-7795
- Fax
- (575) 208-7785
- NPI assigned
- May 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2005-0529 | NM | Primary |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | MD2005-0529 | NM |
Addresses
Primary practice location
607 W Country Club Rd
Roswell, NM 88201-5211
Mailing address
607 W Country Club Rd
Roswell, NM 88201-5211
Phone (575) 208-7795
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42637716 | Medicaid | NM | |
| NM001H62 | Other | NM | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060808000437 | NM | Practitioner - Family Practice | 1456354661 | Reassigns benefits to 4 organizations |
| I20260408004101 | TX | Practitioner - Family Practice | 1456354661 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brazos Emergency Medicine Associates PA
Practice addresses (Care Compare)
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455
Hospital & facility affiliations
- Enhabit Hospice
- Eastern New Mexico Medical Center
- Lake Granbury Medical Center
- Casa Maria Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 48.64 of 100
- Quality
- 9.4
- Improvement activities
- 40
- Cost
- 82.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Arizona Inc | Current | Accepting new patients | |
| Alteon Health New Mexico LLC | Current | Accepting new patients | |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients |
Locations
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
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.
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1689443467
TX
-
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1467405779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015211",
"telephone_number": "575-208-7795",
"fax_number": "575-208-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015211",
"telephone_number": "575-208-7795",
"fax_number": "575-208-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULF",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2005-0529",
"primary": true
},
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "NM",
"license": "MD2005-0529",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42637716",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM001H62",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.