Individual provider Active NPI

Teddi Swidinsky, M.D.

  • Surgery Physician
  • Las Vegas, NM
National Provider Identifier
1578090296
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
92292 Issued in ZZ
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

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Services 1,390 clinicians
Roosevelt County Special Hospital District 39 clinicians

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 Hospital, Socorro, NM, CCN 321301
  • Roosevelt General Hospital Hospital, Portales, NM, CCN 320084

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

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
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42110AZMDSurgery Physician
MD-2018-0086NMMDSurgery Physician
92292ZZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Nov 22, 2018 Accepting new patients
Roosevelt County Special Hospital District Surgery CurrentSince Aug 22, 2023 Accepting new patients
Roosevelt County Special Hospital District CurrentSince Aug 22, 2023 Accepting new patients
San Miguel Clinic Corp CurrentSince Aug 3, 2020 Accepting new patients
Presbyterian Healthcare Services Surgery CurrentSince Nov 22, 2018 Accepting new patients
San Miguel Hospital Corporation PastSince Aug 3, 2020 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

  • Direct secure messaging: teddyswidinsky@rghnm.medalliesdirect.net
  • Direct secure messaging: swidinst@yourcarecommunity.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.