Individual provider Active NPI

Thomas S Gormley, MD

  • Urology Physician
  • Las Cruces, NM
National Provider Identifier
1497721948
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
98-61 Issued in NM
Practice address
2545 S Don Roser Dr
Las Cruces, NM 88011-9107
Phone
(575) 522-7880
Fax
(575) 522-7226
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 98-61 NM Primary

Addresses

Primary practice location

2545 S Don Roser Dr
Las Cruces, NM 88011-9107

Mailing address

2545 S Don Roser Dr
Las Cruces, NM 88011-9107
Phone (575) 522-7880

Other identifiers 1

IdentifierTypeStateIssuer
88579751MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000711 NM Practitioner - Urology 4981681558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rio Grande Urology PA 28 clinicians

Practice addresses (Care Compare)

2545 S Don Roser Dr
Las Cruces, NM 88011-9107
Phone (575) 522-7880

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince May 1, 2008 Accepting new patients
Joseph a Caplan MD PC Past Accepting new patients

Locations

2701 Missouri Ave
Ste A
Las Cruces, NM 88011
Phone (505) 522-7880

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

2545 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 522-7880

7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1497721948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119107",
            "telephone_number": "575-522-7880",
            "fax_number": "575-522-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119107",
            "telephone_number": "575-522-7880",
            "fax_number": "575-522-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "98-61",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88579751",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.