NPIMap

Organization Active NPI

New Mexico Primary Care Group P.C.

  • Internal Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1528201597
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW MEXICO PRIMARY CARE GROUP P.C.
Practice address
179 Howard PL
Las Cruces, NM 88011-8157
Phone
(575) 521-8500
Fax
(575) 521-8400
NPI assigned
Apr 7, 2009
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Sangeeth Shanbhag, M.D.
Title
President
Phone
(575) 521-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

179 Howard PL
Las Cruces, NM 88011-8157

Mailing address

179 Howard PL
Las Cruces, NM 88011-8157
Phone (575) 521-8500

Other names 1

  • Sangeeth Shanbhag MD PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090518000410 NM Part B Supplier - Clinic/Group Practice 8123177391 Receives reassigned benefits from 10 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

179 Howard Pl
Las Cruces, NM 88011
Phone (575) 521-8500

179 Howard Pl
Ste 1
Las Cruces, NM 88011
Phone (575) 521-8500

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

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1528201597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HOWARD PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118157",
            "telephone_number": "575-521-8500",
            "fax_number": "575-521-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HOWARD PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118157",
            "telephone_number": "575-521-8500",
            "fax_number": "575-521-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PRIMARY CARE GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SHANBHAG",
        "authorized_official_first_name": "SANGEETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-521-8500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sangeeth Shanbhag MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sangeeth Shanbhag MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.