Individual provider Active NPI

Jose V Santos Pico, MD

  • Neurological Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1528043783
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD2015-0001 Issued in NM
Practice address
4351 E Lohman Ave Ste 409
Las Cruces, NM 88011-8263
Phone
(575) 522-4433
Fax
(575) 522-4950
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD2015-0001 NM Primary

Addresses

Primary practice location

4351 E Lohman Ave Ste 409
Las Cruces, NM 88011-8263

Mailing address

4351 E Lohman Ave Ste 409
Las Cruces, NM 88011-8263
Phone (575) 522-4433

Other identifiers 1

IdentifierTypeStateIssuer
30327814MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080212000407 PR Practitioner - Neurosurgery 9830272079 Reassigns benefits to 1 organization
I20150430000324 NM Practitioner - Neurosurgery 9830272079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

201 Cedar St SE
Suite 306
Albuquerque, NM 87106-4932
Phone (505) 563-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Neurological Surgery CurrentSince Nov 19, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 19, 2019 Accepting new patients
Centro Medico del Turabo Inc Current Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

201 Cedar St SE
Ste 306
Albuquerque, NM 87106
Phone (505) 247-3635

201 Cedar St SE
Ste 6630
Albuquerque, NM 87106
Phone (505) 563-6399

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: jsantos153155@direct.phs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1528043783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 409",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118263",
            "telephone_number": "575-522-4433",
            "fax_number": "575-522-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 409",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118263",
            "telephone_number": "575-522-4433",
            "fax_number": "575-522-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS PICO",
        "first_name": "JOSE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "MD2015-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30327814",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.