Active NPI
St. Vincent Hospital
Doing business as Alan Rogers, MD
- Family Medicine Physician
- Santa Fe, NM
National Provider Identifier
1598882797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. VINCENT HOSPITAL
- Doing business as
- Alan Rogers, MD
- Practice address
- 530 Harkle Rd Suite a
Santa Fe, NM 87505-4713 - Phone
- (505) 983-6911
- Fax
- (505) 983-7212
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla L Gomez
- Title
- Credentialing Coordinator
- Phone
- (505) 820-5227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
530 Harkle Rd Suite a
Santa Fe, NM 87505-4713
Mailing address
455 Saint Michaels Dr
Medical Staff Office
Santa Fe, NM 87505-7601
Phone (505) 820-8227
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14943 | Other | MOLINA | |
| NM002A08 | Other | BLUE CROSS BLUE SHIELD | |
| 45690 | Medicaid | NM | |
| 10001164 | Other | LOVELACE HEALTHCARE |
Other names 1
- Alan Rogers, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040105000372 | NM | Part B Supplier - Clinic/Group Practice | 6608775135 |
Receives reassigned benefits from 425 practitioners This NPI is an additional NPI on the enrollment Practice locations: Santa Fe, NM; Los Alamos, NM; Albuquerque, NM; Espanola, NM; Farmington, NM; Las Vegas, NM |
National Provider Directory
National Provider DirectoryLocations
530 Harkle Rd
Ste A
Santa Fe, NM 87505
Phone (505) 983-6911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1750456703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198713600000",
"number": "1598882797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"address_2": "MEDICAL STAFF OFFICE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-820-8227",
"fax_number": "505-820-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 HARKLE RD SUITE A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054713",
"telephone_number": "505-983-6911",
"fax_number": "505-983-7212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2007-12-27",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "505-820-5227"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "14943",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM002A08",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45690",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTHCARE",
"identifier": "10001164",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alan Rogers, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Fe, NM
- St. Vincent Hospital (CHRISTUS St. Vincent Orthopaedic Specialty Clinic)
- St. Vincent Hospital (Neurosurgical Associates of Santa Fe)
- St. Vincent Hospital (Arroyo Chamiso Pediatric Rehab)
- St. Vincent Hospital (CHRISTUS St. Vincent Intensivists)
- St. Vincent Hospital (CHRISTUS St. Vincent Urgent Care)
- St. Vincent Hospital (CHRISTUS St. Vincent Medical Oncologists)
- St. Vincent Hospital (CHRISTUS St. Vincent Plastics and Reconstruction Services)
- St. Vincent Hospital (CHRISTUS St. Vincent Physical Medicine and Rehabilitation Specialists)
- St. Vincent Hospital (CHRISTUS St. Vincent Regional Medical Center)
- St. Vincent Hospital (St. Vincent Pediatric Hospitalist Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.