Active NPI
Debbra J Sirmans, M.D.
- Surgery Physician
- Taos, NM
National Provider Identifier
1568680494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2011-0588
- Practice address
- 1380 Bries Way
Taos, NM 87571-6708 - Phone
- (480) 510-6276
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2011-0588 | NM | Primary |
| Surgery Physician | 208600000X | 27039 | AZ |
Addresses
Primary practice location
1380 Bries Way
Taos, NM 87571-6708
Mailing address
1380 Bries Way
Taos, NM 87571-6708
Phone (480) 510-6276
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NMAAA1577 | Other | NM | MEDICARE PTAN |
| 78573726 | Medicaid | NM | |
| 612839 | Medicaid | AZ | |
| 19676026 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27039 | AZ | MD | Surgery Physician |
| 2011-0588 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | 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.
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1568680494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 BRIES WAY",
"city": "TAOS",
"state": "NM",
"postal_code": "875716708",
"telephone_number": "480-510-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 BRIES WAY",
"city": "TAOS",
"state": "NM",
"postal_code": "875716708",
"telephone_number": "480-510-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRMANS",
"first_name": "DEBBRA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "2011-0588",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "27039",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NMAAA1577",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78573726",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "612839",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19676026",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.