Active NPI
Leonel G. Rodarte, M.D.
- Psychiatry Physician
- Las Cruces, NM
National Provider Identifier
1528029980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NM2002-0380
- Practice address
- 3885 Foothills Rd
Suite B
Las Cruces, NM 88011-4672 - Phone
- (575) 522-5111
- Fax
- (575) 522-5115
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NM2002-0380 | NM | Primary |
Addresses
Primary practice location
3885 Foothills Rd
Suite B
Las Cruces, NM 88011-4672
Mailing address
3885 Foothills Rd
Suite B
Las Cruces, NM 88011-4672
Phone (575) 522-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32274050 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern New Mexico Human Development, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Anthony, NM
- NPI 1376662874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1528029980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 FOOTHILLS RD",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114672",
"telephone_number": "575-522-5111",
"fax_number": "575-522-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 FOOTHILLS RD",
"address_2": "SUITE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114672",
"telephone_number": "575-522-5111",
"fax_number": "575-522-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODARTE",
"first_name": "LEONEL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "NM2002-0380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32274050",
"state": "NM"
}
],
"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 Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.