Active NPI
Teddi Swidinsky, M.D.
- Surgery Physician
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 92292
- Practice address
- 108 Legion Dr Ste B
Las Vegas, NM 87701-4898 - Phone
- (505) 426-3795
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-2018-0086 | NM | |
| Surgery Physician | 208600000X | 42110 | AZ | |
| Surgery Physician | 208600000X | 92292 | ZZ | Primary |
Addresses
Primary practice location
108 Legion Dr Ste B
Las Vegas, NM 87701-4898
Mailing address
1900 Hot Springs Blvd Ste a
Las Vegas, NM 87701-3480
Phone (505) 426-3795
Other practice location 1
5690 S Ashley Dr
Chandler, AZ 85249-5264
Phone (623) 229-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181114003126 | NM | Practitioner - General Surgery | 2264708445 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Manitoba, Faculty of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare ServicesRoosevelt County Special Hospital District
Practice addresses (Care Compare)
1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 367-0360
233 Fairway Ter N
Suite B
Clovis, NM 88101-3060
Phone (575) 762-7779
42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652
Hospital & facility affiliations
- Socorro General Hospital
- Roosevelt General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 25 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42110 | AZ | MD | Surgery Physician |
| MD-2018-0086 | NM | MD | Surgery Physician |
| 92292 | ZZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Roosevelt County Special Hospital District | Surgery | Current | Accepting new patients |
| Roosevelt County Special Hospital District | Current | Accepting new patients | |
| San Miguel Clinic Corp | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Surgery | Current | Accepting new patients |
| San Miguel Hospital Corporation | Past | Accepting new patients | |
| Roosevelt County Special Hospital District | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
233 Fairway Ter N
Ste B
Clovis, NM 88101
Phone (575) 762-7779
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569
108 Legion Dr
Ste B
Las Vegas, NM 87701
Phone (505) 426-3742
104 Legion Dr
Ste 4
Las Vegas, NM 87701
Phone (505) 426-3780
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
Interoperability endpoints
- teddyswidinsky@rghnm.medalliesdirect.net
- swidinst@yourcarecommunity.org
- tswidinsky125711@direct.phs.org
Organizations & group practices 9
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
- Portales, NM
- NPI 1073517058
NM
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
NM, Surgery
-
- Rural Health Clinic/Center
- Clovis, NM
- NPI 1578639662
-
- Rural Health Clinic/Center
- Portales, NM
- NPI 1316013402
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Family Medicine Physician
- Portales, NM
- NPI 1093801292
Surgery
-
- Certified Registered Nurse Anesthetist
- Las Vegas, NM
- NPI 1609041706
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portales, NM
- NPI 1073517058
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1578090296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 HOT SPRINGS BLVD STE A",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013480",
"telephone_number": "505-426-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 LEGION DR STE B",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014898",
"telephone_number": "505-426-3795"
}
],
"practiceLocations": [
{
"address_1": "5690 S Ashley Dr",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852495264",
"country_code": "US",
"telephone_number": "623-229-2329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWIDINSKY",
"first_name": "TEDDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD-2018-0086",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "42110",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ZZ",
"license": "92292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.