Active NPI
Ikenna C Osuorji, MD
- Hematology & Oncology Physician
- Las Cruces, NM
National Provider Identifier
1477693554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD2014-0490
- Practice address
- 4050 Northrise Dr
Las Cruces, NM 88011-7327 - Phone
- (575) 652-3040
- Fax
- (575) 652-3093
- NPI assigned
- Feb 7, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | S5241 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | MD2014-0490 | NM | Primary |
Addresses
Primary practice location
4050 Northrise Dr
Las Cruces, NM 88011-7327
Mailing address
4050 Northrise Dr
Las Cruces, NM 88011-7327
Phone (575) 650-3335
Other practice location 1
211 Bartlett Dr Ste 102
El Paso, TX 79912-1607
Phone (915) 745-8631
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Bartlett Dr
Suite 102
El Paso, TX 79912-1607
Phone (575) 650-3335
4050 Northrise Dr
Las Cruces, NM 88011-7327
Phone (575) 650-3040
Hospital & facility affiliations
- Memorial Medical Center
- Mountain View Regional Medical Center
- Mimbres Valley Medical Center
- Sierra Vista Hospital
- Christus Southern New Mexico
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2014-0490 | NM | MD | Hematology & Oncology Physician |
| S5241 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer/Blood and Medicine Clinic LLC | Hematology & Oncology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Calhoun County, PLLC | Past | Accepting new patients |
Locations
4050 Northrise Dr
Las Cruces, NM 88011
Phone (575) 650-3335
211 Bartlett Dr
Ste 102
El Paso, TX 79912
Phone (575) 650-3335
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.
-
- Multi-Specialty Clinic/Center
- Las Cruces, NM
- NPI 1124428081
Hematology & Oncology, TX
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1144455494
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Deming, NM
- NPI 1891075446
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1477693554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 NORTHRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117327",
"telephone_number": "575-650-3335",
"fax_number": "575-652-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 NORTHRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117327",
"telephone_number": "575-652-3040",
"fax_number": "575-652-3093"
}
],
"practiceLocations": [
{
"address_1": "211 Bartlett Dr Ste 102",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799121607",
"country_code": "US",
"telephone_number": "915-745-8631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSUORJI",
"first_name": "IKENNA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "S5241",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NM",
"license": "MD2014-0490",
"primary": true
}
],
"identifiers": [],
"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 Aug 4, 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.