Loutsios K. Ierides, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

82-219 Issued in NM

Practice address

711 Christopher Dr
Belen, NM 87002-2617

Phone

(505) 248-1800

Fax

(505) 248-1917

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lierides66876@direct.phs.org
• Direct secure messaging: loutsios.ierides.1@1592.direct.athenahealth.com
• Direct secure messaging: lierides@yourcarecommunity.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

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.

• Southwest Medical Associates, LLC

  dba Lovelace Medical Group

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164491072
  Medicare reassignment Care Compare group NPD
• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039

  Cardiovascular Disease

  Medicare reassignment NPD
• Miners Colfax Medical Center

  • Critical Access Hospital
  • Raton, NM
  • NPI 1083931109
  Medicare reassignment NPD
• Rehoboth McKinley Christian Health Care Services, Inc

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1689784506

  Cardiovascular Disease

  Medicare reassignment NPD
• San Miguel Clinic Corp

  • Family Medicine Physician
  • Las Vegas, NM
  • NPI 1114920717
  Medicare reassignment NPD
• Unm Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1831218627
  Medicare reassignment NPD
• Miners Colfax Medical Center

  dba Miners Colfax Medical Center RHC

  • Rural Health Clinic/Center
  • Raton, NM
  • NPI 1346780434
  NPD
• Rehoboth McKinley Christian Health Care Services, Inc

  • Rural Health Clinic/Center
  • Gallup, NM
  • NPI 1689779860

  Cardiovascular Disease

  NPD
• Rehoboth McKinley Christian Health Care Services, Inc.

  dba RMCHCS Hospital

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1720084999
  NPD
• Southwest Medical Associates, LLC

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1578255253
  NPD
• Unm Medical Group, Inc.

  dba UNM Truman Health Services Pharmacy

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1417330044
  NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1578601753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CHRISTOPHER DR",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870022617",
            "telephone_number": "505-248-1800",
            "fax_number": "505-248-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CHRISTOPHER DR",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870022617",
            "telephone_number": "505-248-1800",
            "fax_number": "505-248-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IERIDES",
        "first_name": "LOUTSIOS",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "82-219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20420",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Hodges
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• Shelly Hollon
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• Rose E. Hutchison, M.D.
• Inez M Beaupre Lewis
• Inspire Medical Group LLC
• Jane Rael Acupuncture la Curandera
• Amanda Jaramillo
• Carolyn Jaramillo, BSN RN

• Cardiovascular Disease Physician in Belen, NM
• Providers in Belen, NM by specialty
• Cardiovascular Disease Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.

Verify at the official NPI Registry.