Louisa Gayle Chavez, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Raton, NM
NPI 1508843293 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1508843293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 9118 (NM)
- Practice address
- 203 Hospital Dr
Raton, NM 87740-2012 - Phone
- (575) 445-3661
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Womens Health Horizons, Inc
Practice addresses (Care Compare)
4801 McMahon Blvd NW
Suite 101
Albuquerque, NM 87114-5090
Phone (505) 893-2840
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 |
|---|---|---|---|---|
| I20140808001098 | NM | Practitioner - Obstetrics/Gynecology | 4880811223 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9118 | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miners Colfax Medical Center | Current | Accepting new patients | |
| Miners Colfax Medical Center | Current |
Accepting new patients | |
| Womens Health Horizons, Inc | Current |
Accepting new patients |
Locations
4801 McMahon Blvd NW
Ste 101
Albuquerque, NM 87114
Phone (505) 269-7349
203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9118 | NM | Yes |
Addresses
Primary practice location
203 Hospital Dr
Raton, NM 87740-2012
Mailing address
203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-3661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53856 | Medicaid | NM |
Other providers in Raton, NM
- Lee C Caruana
- Connie Casias
- Casita Alegra LLC
- Rick Castellini
- Charles L Secora
- Kelli Chiaramonte
- Sydney L. Chilton
- Gail Cimino
- Citizens for the Developmentally Disabled, Inc.
- City of Raton
All providers in Raton, NM · Obstetrics & Gynecology 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 Jul 21, 2022. 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.