Individual provider Active NPI

Harsha Umesh, M.D.

  • Internal Medicine Physician
  • Gallup, NM
National Provider Identifier
1639352834
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10025508 Issued in TX
Practice address
1407 Redrock Dr
Gallup, NM 87301-5647
Phone
(432) 559-5924
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10025508 TX Primary

Addresses

Primary practice location

1407 Redrock Dr
Gallup, NM 87301-5647

Mailing address

1407 Redrock Dr
Gallup, NM 87301-5647
Phone (432) 559-5924

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
I20090814000552 NM Practitioner - Internal Medicine 8628122355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

2100 N Martin Luther King Jr Blvd
Plains Regional Medical Center
Clovis, NM 88101-9412
Phone (575) 769-2141

2400 Unser Blvd SE
Rust Medical Center
Rio Rancho, NM 87124-4740
Phone (505) 253-7878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10025508TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of New Mexico-TCG LLC Internal Medicine CurrentSince Sep 10, 2018 Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients

Locations

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

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 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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1639352834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015647",
            "telephone_number": "432-559-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015647",
            "telephone_number": "432-559-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMESH",
        "first_name": "HARSHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10025508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.