Individual provider Active NPI

Edgar Andres Chica, MD

  • Psychiatry Physician
  • Las Cruces, NM
National Provider Identifier
1649677360
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2023-1429 Issued in NM
Practice address
3751 Del Rey Boulevard
Mesilla Valley Hospital
Las Cruces, NM 88012
Phone
(575) 382-6697
NPI assigned
Nov 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2023-1429 NM Primary

Addresses

Primary practice location

3751 Del Rey Boulevard
Mesilla Valley Hospital
Las Cruces, NM 88012

Mailing address

6612 Heritage Ridge Way
El Paso, TX 79912-8124
Phone (516) 448-2803

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
I20231208002661 NM Practitioner - Psychiatry 2668821158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHC Mesilla Valley Hospital, LLCGroup PAC ID 3072553056, 7 clinicians

Practice addresses (Care Compare)

3751 Del Rey Blvd
Las Cruces, NM 88012-7710
Phone (575) 382-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2023-1429NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Mesilla Valley Hospital LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

3571 Del Rey Blvd
Mesillia Vly Hosp
Las Cruces, NM 88012
Phone (575) 373-5043

3751 Del Rey Blvd
Las Cruces, NM 88012
Phone (505) 382-3500

Interoperability endpoints

  • Direct secure messaging: edgar.chica@direct.myhealthep.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1649677360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 HERITAGE RIDGE WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128124",
            "telephone_number": "516-448-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 DEL REY BOULEVARD",
            "address_2": "MESILLA VALLEY HOSPITAL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88012",
            "telephone_number": "575-382-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICA",
        "first_name": "EDGAR",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2023-1429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.