Individual provider Active NPI

Louisa Gayle Chavez, MD

  • Obstetrics & Gynecology Physician
  • Raton, NM
National Provider Identifier
1508843293
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9118 Issued in NM
Practice address
203 Hospital Dr
Raton, NM 87740-2012
Phone
(575) 445-3661
NPI assigned
Dec 23, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9118 NM Primary

Addresses

Primary practice location

203 Hospital Dr
Raton, NM 87740-2012

Mailing address

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-3661

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
I20140808001098 NM Practitioner - Obstetrics/Gynecology 4880811223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Horizons, IncGroup PAC ID 7618137498, 10 clinicians

Practice addresses (Care Compare)

4801 McMahon Blvd NW
Suite 101
Albuquerque, NM 87114-5090
Phone (505) 893-2840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9118NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miners Colfax Medical Center Current Accepting new patients
Miners Colfax Medical Center CurrentSince May 30, 2014 Accepting new patients
Womens Health Horizons, Inc CurrentSince Jan 9, 2020 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508843293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "LOUISA",
        "middle_name": "GAYLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "9118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

Verify at the official NPI Registry.