NPIMap

Individual provider Active NPI

Kyle Wesley Sanders, M.D.

  • Diagnostic Radiology Physician
  • Farmington, NM
National Provider Identifier
1538320437
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2017-0879 Issued in NM
Practice address
801 W Maple St
Farmington, NM 87401-5630
Phone
(056) 096-2285
NPI assigned
Jun 23, 2008
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 69136 GA
Diagnostic Radiology Physician 2085R0202X MD2017-0879 NM Primary
Vascular & Interventional Radiology Physician 2085R0204X 9532955-1205 UT
Vascular & Interventional Radiology Physician 2085R0204X E-9650 AR
Vascular & Interventional Radiology Physician 2085R0204X 55072-020 WI
Vascular & Interventional Radiology Physician 2085R0204X 036.140664 IL
Vascular & Interventional Radiology Physician 2085R0204X 2016009166 MO
Independent Medical Examiner Physician 202C00000X 069136 GA

Addresses

Primary practice location

801 W Maple St
Farmington, NM 87401-5630

Mailing address

PO Box 2019
Farmington, NM 87499-2019
Phone (505) 325-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116000584 NM Practitioner - Diagnostic Radiology 3476842303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians
Four Corners Radiology Associates PCGroup PAC ID 7214928746, 8 clinicians

Practice addresses (Care Compare)

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-6625

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 325-1572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37988SCMDPharmacist
069136GAMDIndependent Medical Examiner Physician
69136GAMDDiagnostic Radiology Physician
MD2017-0879NMMDDiagnostic Radiology Physician
036.140664ILMDVascular & Interventional Radiology Physician
2016009166MOMDVascular & Interventional Radiology Physician
9532955-1205UTMDVascular & Interventional Radiology Physician
55072-020WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC Diagnostic Radiology CurrentSince Oct 15, 2025 Accepting new patients
Four Corners Radiology Associates PC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Familycare Associates,PA Family Medicine Past Accepting new patients

Locations

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-four

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.

Hospital & facility affiliations 12

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1538320437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2019",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874992019",
            "telephone_number": "505-325-1572",
            "fax_number": "505-327-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015630",
            "telephone_number": "056-096-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KYLE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "69136",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2017-0879",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "UT",
            "license": "9532955-1205",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "E-9650",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "55072-020",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.140664",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2016009166",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "GA",
            "license": "069136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.