Active NPI
Gila Regional Medical Center
- Family Medicine Physician
- Deming, NM
National Provider Identifier
1497301824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GILA REGIONAL MEDICAL CENTER
- Practice address
- 901 S. Gold Avenue
Deming, NM 88030 - Phone
- (575) 538-4130
- NPI assigned
- Aug 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Whitaker
- Title
- Cfo
- Phone
- (575) 538-4130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
901 S. Gold Avenue
Deming, NM 88030
Mailing address
1313 E 32ND St
Silver City, NM 88061-7251
Phone (575) 538-4130
Other names 1
- Gila Regional Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000440 | NM | Part B Supplier - Clinic/Group Practice | 9931006319 |
Receives reassigned benefits from 33 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Silver City, NM |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Medical Oncology Physician
- Silver City, NM
- NPI 1619053709
O20031215000440
-
- Family Medicine Physician
- Silver City, NM
- NPI 1831555366
O20031215000440
National Provider Directory
National Provider DirectoryLocations
901 S Gold Ave
Deming, NM 88030
Phone (575) 538-4130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Silver City, NM
- NPI 1689630378
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1497301824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 E 32ND ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617251",
"telephone_number": "575-538-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S. GOLD AVENUE",
"city": "DEMING",
"state": "NM",
"postal_code": "88030",
"telephone_number": "575-538-4130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILA REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-12",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "WHITAKER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "575-538-4130"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gila Regional Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gila Regional Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.