Individual provider Active NPI

Joe D Tumalad, NP

  • Nurse Practitioner
  • Ruidoso, NM
National Provider Identifier
1619200367
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
564554 Issued in TX
Practice address
1204 Mechem Dr Ste 1
Ruidoso, NM 88345-7207
Phone
(281) 444-1711
Fax
(281) 456-3437
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 564554 TX Primary

Addresses

Primary practice location

1204 Mechem Dr Ste 1
Ruidoso, NM 88345-7207

Mailing address

1204 Mechem Dr Ste 1
Ruidoso, NM 88345-7207
Phone (575) 808-8297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100330000378 TX Practitioner - Nurse Practitioner 8729114756 Reassigns benefits to 1 organization
I20190716001939 NM Practitioner - Nurse Practitioner 8729114756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

Practice addresses (Care Compare)

1204 Mechem Dr
Suite 15
Ruidoso, NM 88345-7208
Phone (832) 343-7855

3791 Southern Blvd SE
Suite 100
Rio Rancho, NM 87124-7417
Phone (505) 994-9435

Hospital & facility affiliations

  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
73.96
Promoting interoperability
93
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
564554TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Smarthealth Enterprise LLC CurrentSince Dec 1, 2021 Accepting new patients
Cypress Emergency Associates PA Past Accepting new patients
Excel Urgent Care PLLC Past Accepting new patients

Locations

2474 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 443-0339

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

5419 N Lovington Hwy
Ste 12
Hobbs, NM 88240
Phone (505) 492-0220

3791 Southern Blvd SE
Ste 100
Rio Rancho, NM 87124
Phone (505) 207-7550

100 S Michigan Ave
Roswell, NM 88203
Phone (505) 751-7255

159 Mescalero Trl
Ste 8
Ruidoso, NM 88345
Phone (505) 336-8005

1204 Mechem Dr
Ste 15
Ruidoso, NM 88345
Phone (832) 343-7855

1204 Mechem Dr
Ste 1
Ruidoso, NM 88345
Phone (575) 808-8297

3406 Bob Rogers Dr
Ste 270
Eagle Pass, TX 78852

1620 N Main St
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

Organizations & group practices 4

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 1

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1619200367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MECHEM DR STE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457207",
            "telephone_number": "575-808-8297",
            "fax_number": "575-449-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MECHEM DR STE 1",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457207",
            "telephone_number": "281-444-1711",
            "fax_number": "281-456-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMALAD",
        "first_name": "JOE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "564554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

Verify at the official NPI Registry.